UHS
Location
Bartlett, Tennessee
The UM Coordinator evaluates patient medical records to determine the appropriate level of care and serves as a liaison between patients and insurance companies. They also negotiate length of stay and oversee utilization review activities to ensure proper reimbursement for services.
Candidates must hold a bachelor's degree in a healthcare field such as Nursing, Counseling, Psychology, or Social Work. A minimum of 3-5 years of direct psychiatric patient care experience is required, with professional licensure preferred.
The UM Coordinator possesses knowledge of psychiatric clinical diagnosis and the ability to articulate those indicators professionally. The UM Coordinator evaluates patient medical records to determine severity of patient’s illness and determining the appropriateness of level of care. Serves as liaison for patients and hospital with insurance companies. Negotiates and advocates for patient length of stay and level of care. Oversees utilization review activities with other departments to ensure reimbursement for services provided by the hospital. The UM Coordinator facilitates physician weekly staffing meetings and coordinates with physician’s outpatient offices for the purposes of billing. The UM Coordinator has a working knowledge of all levels of care offered and appropriately manages patient benefits.
Bachelors prepared healthcare professional (Nursing, Counseling, Psychology or SocialWork) required, MA/MSW or RN preferred.