Utilization Management (UM) Coordinator, CommuniCare Family of Companies, Columbus, OH
CommuniCare Family of Companies -
Columbus, OH,
US
Utilization Management (UM) Coordinator
Date Posted: 2024-06-09
Job description
Who we are
The #NewVista mission is to inspire hope and deliver holistic care to those in need of behavioral health services in a contemporary and healing environment - one that is conducive to providing the life skills needed to regain stability and independence, utilizing a passionate and highly trained team of professionals. With a blend of group therapy, clinical treatment and unique surroundings, our beautiful healthcare centers provide a safe, healing environment for adults and seniors with a variety of complex needs. We provide a serene environment that promotes medical, rehabilitative and emotional health, and are devoted to promoting greater peace of mind on the journey of hope and healing.
Our team at RiverVista provides professional, compassionate care for adults and seniors in need of behavioral health services in a contemporary and healing environment. Located in Columbus, our behavioral health hospital specializes in treating symptoms associated with depression, anxiety, acute psychosis and other mental health crises and co-occurring detox needs. Utilizing a blend of group therapy and clinical treatment, our center provides a safe, therapeutic space. Our team our highly trained doctors and clinicians work closely to develop and oversee individualized care plans, with the goal of build the self-reliance and confidence needed for individuals to integrate safely back into the community.
Our compassionate team members work in a challenging yet rewarding environment where each person is a part of making direct impact to our patient's lives. Our team members work with our patients to help in the recovery and treatment process to restore to a better quality life through their individual plans, group therapy and overall stay at our facility.
Perks at Work
Team Members enjoy a variety of perks in working with the NewVista brand company. We offer competitive market wages along with a full robust package around Healthcare, Life Balance, Education, Leadership Development and Recognition.
Healthcare + Life Balance:
Education + Leadership Development
Recognition + Rewards
The Role Itself
The Utilization Management coordinator is responsible for coordinating and monitoring appropriate utilization and documentation of services throughout the course of treatment for patients admitted to the inpatient programs and coordinate authorization with third-party payors. Review cases for appropriateness of admission, continued stay, and discharge planning. Maintain communication system based on documentation and verbal exchange regarding treatment. Communicate with internal and external entities to facilitate acquisition of resources. Schedule Peer to Peer appointments for physician and CNP.
The #NewVista mission is to inspire hope and deliver holistic care to those in need of behavioral health services in a contemporary and healing environment - one that is conducive to providing the life skills needed to regain stability and independence, utilizing a passionate and highly trained team of professionals. With a blend of group therapy, clinical treatment and unique surroundings, our beautiful healthcare centers provide a safe, healing environment for adults and seniors with a variety of complex needs. We provide a serene environment that promotes medical, rehabilitative and emotional health, and are devoted to promoting greater peace of mind on the journey of hope and healing.
Our team at RiverVista provides professional, compassionate care for adults and seniors in need of behavioral health services in a contemporary and healing environment. Located in Columbus, our behavioral health hospital specializes in treating symptoms associated with depression, anxiety, acute psychosis and other mental health crises and co-occurring detox needs. Utilizing a blend of group therapy and clinical treatment, our center provides a safe, therapeutic space. Our team our highly trained doctors and clinicians work closely to develop and oversee individualized care plans, with the goal of build the self-reliance and confidence needed for individuals to integrate safely back into the community.
Our compassionate team members work in a challenging yet rewarding environment where each person is a part of making direct impact to our patient's lives. Our team members work with our patients to help in the recovery and treatment process to restore to a better quality life through their individual plans, group therapy and overall stay at our facility.
Perks at Work
Team Members enjoy a variety of perks in working with the NewVista brand company. We offer competitive market wages along with a full robust package around Healthcare, Life Balance, Education, Leadership Development and Recognition.
Healthcare + Life Balance:
- Medical Packages with Rx - 3 Choices
- Flexible Spending Accounts (FSA)
- Dependent Day Care Spending Accounts
- Health Spending Accounts (HSA) with a company match
- Dental Care Program - 2 choices
- Vision Plan
- Life Insurance Options
- Accidental Insurances
- Paid Time Off + Paid Holidays
- Employee Assistance Programs
- 401k with a Company Match
Education + Leadership Development
- Up to $15,000 in Tuition Reimbursements OR Student Loan forgiveness
- Mentoring + Trainer Opportunities through our Horizon Mentorship Program
- Growth in Director and CEO positions through our Horizon Leadership Program
- Handle with Care Trainer - Certifications
Recognition + Rewards
- On the spot recognition Prizes
- Team Member of the Quarter
- Team Member of the Year
- Monthly Celebrations
- Team Member Recognition Cards
The Role Itself
The Utilization Management coordinator is responsible for coordinating and monitoring appropriate utilization and documentation of services throughout the course of treatment for patients admitted to the inpatient programs and coordinate authorization with third-party payors. Review cases for appropriateness of admission, continued stay, and discharge planning. Maintain communication system based on documentation and verbal exchange regarding treatment. Communicate with internal and external entities to facilitate acquisition of resources. Schedule Peer to Peer appointments for physician and CNP.