Psych Utilization Review Coordinator PD

Join Cottage Health as the per diem Psych Utilization Review Coordinator.

The Psych Utilization Review Coordinator is responsible for coordinating and obtaining initial, concurrent, and post discharge treatment authorizations from insurance companies and managed care organizations.

Communicates authorization status to treatment members, residents and families as needed, reviewing intensity of service/illness to insure appropriate level of care is being met.

Coordinates MD to MD reviews, initiates written appeals and denials.

Communicates authorization status with admitting and business office to insure payment.

QUALIFICATIONS

All job qualifications listed indicate the minimum level necessary to perform this job proficiently.

LEVEL OF EDUCATION

Minimum: ASN or Master's Degree in Psychology, Counseling or Social Work

Preferred: BA in Nursing

CERTIFICATIONS, LICENSES, REGISTRATIONS

Minimum: MFT, LCSW, or RN is required

TECHNICAL REQUIREMENTS

Minimum: Computer Skills, MS Office Word, Excel

Preferred: On the job training in CPOE, electronic health record, ASAM Criteria

YEARS OF RELATED WORK EXPERIENCE

Minimum: 5 years in providing Psych/CD services in an insurance based system.
Cottage Health is a leading acute care hospital system, located on the central coast of California, widely known for our superior patient care, innovation, medical research and education.

Our health system operates primarily in Santa Barbara, Ca, since 1888, and consists of three acute care hospitals, a Rehabilitation Hospital, multiple clinics and a multi-site Urgent Care system.

Our mission is to serve the central coast communities with excellence, integrity, and compassion.

Every day we touch thousands of lives in many different ways, resolute in our mission to put patients first.

We take pride in helping our patients get back to living their lives - in the places they love.

Cottage Health is an Equal Opportunity Employer.

Cottage Health applicants are considered solely based on their qualifications, without regard to race, color, ethnicity, religion, age, gender, transgender, gender expression and identity, national origin, ancestry, disability, sexual orientation, marital status, military status or any other classification protected by law.

This policy applies to all aspects of the relationship between Cottage Health and an applicant or employee.

Cottage Health is committed to upholding discrimination-free hiring practices.

We strive to cultivate an environment where exceptional people bring diverse perspectives and find belonging, support and connection to their work.

Any Cottage Health applicants who require assistance or reasonable accommodations during the application process may request the need for accommodation with the Recruiter.

If you're already a Cottage Health employee, please apply on this link only.

Per Diem, 8 Hours, Day Shifts