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Utilization Review Coordinator

Company: Allied Health
Location: Oklahoma City
Posted on: November 11, 2019

Job Description:

Location OKLAHOMA CITY, OK 73141 US (Primary) Career Area Allied Health Category Medical Billing Job Description The Utilization Review Coordinator evaluates patient medical records to determine severity of patient s illness and the appropriateness of level of care. Serves as liaison for patients and facility with insurance companies. Negotiates and advocates for patient length of stay and level of care. Coordinates utilization review activities with other departments to ensure reimbursement for services provided by the facility. Promotes patient care consistent with the philosophy and objectives of Cedar Ridge. Performs duties in accordance with the ANA Standards of Practice for Psychiatric Mental Health Care, and facility mission, values, policies, and behavioral standards. Cedar Ridge is a behavioral health facility that encompasses a 116-bed acute psychiatric hospital and residential treatment center on a beautifully wooded campus with a stocked pond, school, outdoor courtyard and playground. Cedar Ridge at Bethany is a 60-bed psychiatric hospital offering adult behavioral health programs and treatment services. We are owned by Universal Health Services. Visit us at *********************, *************************, or **************. Join the Cedar Ridge team in creating and fostering a unique work environment and providing a safe and secure haven for adults, children, and adolescents. We are an Equal Opportunity Employer and offer an excellent compensation and benefits packet. Job Requirements * Experience: 3-5 years clinical experience with a psychiatric mental health population required. * Education: Must have degree in Nursing, Social Work, or related field, or be in the process of actively pursuing degree. MSN or MSW preferred. * Licensure/Certification: Licensed Therapist or Social Worker (LPC/LCSW) preferred. * Working Knowledge: Possesses knowledge of psychiatric care, utilization review, insurance reimbursement procedures, DSM-IV, etc. Current knowledge of regulating /accrediting agency guidelines. Basic knowledge of statistical analysis desired.

Keywords: Allied Health, Oklahoma City , Utilization Review Coordinator, Other , Oklahoma City, Oklahoma

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