The Utilization Management Coordinator supports quality patient care by assessing the necessity and efficiency of hospital services through ongoing reviews and evaluations.
Reporting to the UM Director, they liaise with managed care organizations, external reviewers, and payors for initial, continued stay, and discharge assessments.
Qualifications include a Bachelor's degree in Social Services, Nursing, or related fields (Master's preferred), and active licensure (e.g., RN, LMSW, LCSW, LPC, MFT).
At least 3 years of experience in behavioral health or medical inpatient settings is required, along with the ability to obtain a Level 1 Fingerprint Clearance Card.
This in-office role emphasizes promoting high-quality, efficient care within a modern 120-bed facility serving diverse mental health and substance use needs.