NeuroPsychiatric Hospitals
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Utilization Review Coordinator
role at
NeuroPsychiatric Hospitals
1 day ago Be among the first 25 applicants
Healing Body and Mind. NeuroPsychiatric Hospitals is a national leader in behavioral healthcare, specializing in patients with acute psychiatric and complex medical needs. Our hospitals use an interdisciplinary, multi‑specialty approach that delivers high‑quality, patient‑centered care when it’s needed most.
With locations in Indiana, Michigan, Texas, and Arizona, we’re expanding access to our unique model of care across the United States. Join us and be part of a team dedicated to making a lasting difference in the lives of patients and families every day.
Overview NeuroPsychiatric Hospitals of Indianapolis and Medical Behavioral Hospital of Indianapolis are looking for a PRN Utilization Review Coordinator to coordinate patients’ services across the continuum of care by promoting effective utilization, monitoring health resources and collaborating with multidisciplinary teams. This position will be PRN (per diem) and work between both hospitals in Indianapolis and Greenwood on an as‑needed basis.
Benefits Of Joining NPH
Competitive pay rates
Medical, Dental, and Vision Insurance
NPH 401(k) plan with up to 4% Company match
Employee Assistance Program (EAP) Programs
Generous PTO and Time Off Policy
Special tuition offers through Capella University
Work/life balance with great professional growth opportunities
Employee Discounts through LifeMart
Responsibilities
Filing documents as needed.
Initial precertification with payors.
Concurrent clinical review with payors.
Document in the electronic system daily in real time.
Admission audit.
Ensure that CON’s/RON’s and CMS certifications are completed by provider.
Consistently demonstrate professionalism with all internal and external customers as evidenced by positive customer and peer communication.
Maintain knowledge of current trends and developments in the field by reading appropriate books, journals and attending related seminars or conferences.
Maintain a professional approach with assurance of protection and privacy of health information as attained through written, electronic or oral disclosures.
Cooperate and maintain good rapport with nursing staff, medical staff, and other departments.
Seek guidance and remain knowledgeable of, and comply with, all applicable federal and state laws, as well as hospital policies that apply.
Comply with hospital expectations regarding ethical behavior and standards of conduct.
Comply with federal and hospital requirements in the areas of protected health information and patient information.
Reconsiderations, assist with appeals as needed, arrange peer‑to‑peer level reviews, and report the outcomes to the VP of Care Management and Team.
Provide education to nursing staff, leadership team, and providers regarding documentation.
Actively work with the business office regarding resolution of appeals/denials and retrospective reviews.
Qualifications Education:
Bachelor’s in Behavioral Health, Social Work, Counseling, Nursing or Psychology required. Master’s degree preferred.
Experience:
Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 years of case management experience, including discharge planning in a hospital setting required.
Licensure:
Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred. Basic Life Support (BLS) and Handle with Care (HWC) obtained during orientation, if applicable.
Skills:
Must have strong knowledge of medications and demonstrate exceptional time management, data entry, and communication skills. Must be detail oriented.
EEO Statement NeuroPsychiatric Hospitals is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.
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Utilization Review Coordinator
role at
NeuroPsychiatric Hospitals
1 day ago Be among the first 25 applicants
Healing Body and Mind. NeuroPsychiatric Hospitals is a national leader in behavioral healthcare, specializing in patients with acute psychiatric and complex medical needs. Our hospitals use an interdisciplinary, multi‑specialty approach that delivers high‑quality, patient‑centered care when it’s needed most.
With locations in Indiana, Michigan, Texas, and Arizona, we’re expanding access to our unique model of care across the United States. Join us and be part of a team dedicated to making a lasting difference in the lives of patients and families every day.
Overview NeuroPsychiatric Hospitals of Indianapolis and Medical Behavioral Hospital of Indianapolis are looking for a PRN Utilization Review Coordinator to coordinate patients’ services across the continuum of care by promoting effective utilization, monitoring health resources and collaborating with multidisciplinary teams. This position will be PRN (per diem) and work between both hospitals in Indianapolis and Greenwood on an as‑needed basis.
Benefits Of Joining NPH
Competitive pay rates
Medical, Dental, and Vision Insurance
NPH 401(k) plan with up to 4% Company match
Employee Assistance Program (EAP) Programs
Generous PTO and Time Off Policy
Special tuition offers through Capella University
Work/life balance with great professional growth opportunities
Employee Discounts through LifeMart
Responsibilities
Filing documents as needed.
Initial precertification with payors.
Concurrent clinical review with payors.
Document in the electronic system daily in real time.
Admission audit.
Ensure that CON’s/RON’s and CMS certifications are completed by provider.
Consistently demonstrate professionalism with all internal and external customers as evidenced by positive customer and peer communication.
Maintain knowledge of current trends and developments in the field by reading appropriate books, journals and attending related seminars or conferences.
Maintain a professional approach with assurance of protection and privacy of health information as attained through written, electronic or oral disclosures.
Cooperate and maintain good rapport with nursing staff, medical staff, and other departments.
Seek guidance and remain knowledgeable of, and comply with, all applicable federal and state laws, as well as hospital policies that apply.
Comply with hospital expectations regarding ethical behavior and standards of conduct.
Comply with federal and hospital requirements in the areas of protected health information and patient information.
Reconsiderations, assist with appeals as needed, arrange peer‑to‑peer level reviews, and report the outcomes to the VP of Care Management and Team.
Provide education to nursing staff, leadership team, and providers regarding documentation.
Actively work with the business office regarding resolution of appeals/denials and retrospective reviews.
Qualifications Education:
Bachelor’s in Behavioral Health, Social Work, Counseling, Nursing or Psychology required. Master’s degree preferred.
Experience:
Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 years of case management experience, including discharge planning in a hospital setting required.
Licensure:
Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred. Basic Life Support (BLS) and Handle with Care (HWC) obtained during orientation, if applicable.
Skills:
Must have strong knowledge of medications and demonstrate exceptional time management, data entry, and communication skills. Must be detail oriented.
EEO Statement NeuroPsychiatric Hospitals is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.
#J-18808-Ljbffr