Skip navigation
Unable to save this job. Please try again later.

{msg}

Email this Job to Yourself or a Friend

To begin the application process, please enter your email address.

Company Contact Info

  • 4110 Davie Road Extension
    Hollywood, FL 33024

Already have an account?

Sign in to apply with your saved resumes.

New to CareerBuilder?

Don't have an account? Continue as a guest!

Sorry, we cannot save or unsave this job right now.

Report this Job

Trust and Site Security Team.

Don't miss out on new jobs!

Get the latest Care Management Coordinator (Management) jobs in Hollywood, FL delivered directly to your inbox. You can unsubscribe at any time.

Saving Your Job Alert

Job Alert Saved!

Could not save Job Alert!

You have too many Job Alerts!

This email address has reached the maximum of 5 email alerts. To create a new alert, you will need to log into your email and unsubscribe from at least one.

Sign Up

or   Sign In Here
Password Must Contain
• 
8 to 15 characters
• 
1 uppercase letter
• 
1 number or symbol
• 
1 lowercase letter
Cancel
Create an Account with CareerBuilder to save jobs & unlock these great features
See similar job titles and skills to help you make your next move
Upload a resume and become visible to Hiring Managers and Employers
Compare Salary Information to see where you stand amongst your peers
Easily Quick Apply to jobs with just one click!

Email Send Failed!

UR Coordinator

American Addiction Centers • Hollywood, FL

Posted 28 days ago

Job Snapshot

Full-Time
Experience - At least 2 year(s)
Degree - 4 Year Degree
Healthcare - Health Services
Other

Job Competition

75+

Applicants

How Do You Compare to the Competition?

Get facts about other applicants with a CareerBuilder Account

Job Description

Overview

Job Summary:

Recovery First is seeking a full time Lead UR Coordinator in sunny South Florida. The UR Coordinator is responsible for case management and communicating census data to teams which in turn drives the level of care received by the clients. The UR Coordinator will carry a case load and ensure the client’s are covered at the appropriate level of care.

Report To: Director of UR

Responsibilities

Job Duties:

  • Complies with all performance measuring regarding precertification, concurrent reviews and appeals.
  • Maintains an accurate record of authorizations in company designated platforms in a timely manner.
  • Reviews all clinical documentation necessary for insurance authorization review.
  • Collects, reviews and analyzes utilization review information and participate in special utilization review projects.
  • Works cooperatively with clinical team members to obtain necessary clinical information.
  • Attends UR Meetings in person or via remote connection to discuss activities/needs of UR department.
  • Update UR census data with new admissions and level of care (LOC). Send daily census data to clinical team and upload to Share Point for billing team. Follow-up with UR team on missing authorizations and new admits.
  • Update monthly dashboard with key metrics, such as, number of clients, LOC, billed days, and uncovered days.
  • Track each client’s LOC changes on a data sheet and submit to Facility CEO monthly.
  • Monthly, create a random list of charts from Accucare. Distribute to UR team in order to complete a quality assessment.
  • As needed, answer overflow calls from reception area and forward to the appropriate department/person.
  • Pre-certify insurance clients by completing reviews as needed with insurance companies to extend the stay of client in treatment; work with the clinical and client care team to communicate insurance case managers request for specific treatment, follow ups, and individualized care; communicate authorizations to clinical team; and prepare for weekly meetings to discuss appropriate discharge dates based on authorizations.
  • Other job duties – as assigned
Qualifications

Job Responsibilities:

  • Master's Degree in a behavioral health related field or RN (Registered Nurse),  credentials preferred.
    • Master’s Degree in a behavioral health related field and 2+ years experience in behavioral health and/or utilization management services. 
    • OR
    • Bachelor’s degree in a behavioral health related field 4+ years experience in behavioral health and/or utilization management services.
  • Two year’s medical billing experience.
  • Ability to read and interpret written information; write clearly and informatively; edits work for spelling and grammar.
  • Ability to speak clearly and persuasively in positive or negative situations; listens and gets clarification; responds well to questions; demonstrates group presentation skills; and participates in meetings.
  • Working knowledge of Microsoft Word, Excel, and Outlook.
  • Candidates in recovery must have 2+ years of sobriety.

AAC is committed to principles of equal opportunities for all employees.  The Company will provide reasonable accommodations that are necessary to comply with State and Federal disability discrimination laws.

Job ID: 2018-2156
Help us improve CareerBuilder by providing feedback about this job: Report this Job.
CAREERBUILDER TIP
For your privacy and protection, when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Learn more.
By applying to a job using CareerBuilder you are agreeing to comply with and be subject to the CareerBuilder Terms and Conditions for use of our website. To use our website, you must agree with the Terms and Conditions and both meet and comply with their provisions.
Don't miss out on new jobs like this
Get the latest jobs delivered to your inbox. Unsubscribe at any time.

Saving Your Job Alert

Job Alert Created

Well, this is embarrassing. We are having trouble saving your search. You can try again or come back at a later time.

Maximum Email Alerts

This email address has reached the maximum of 5 email alerts. To create a new alert, you will need to log into your email and unsubscribe from at least one.

More Jobs at American Addiction Centers

View All Similar Jobs View All Similar Jobs