Utilization Review (UR) Coordinator

Utilization Review Coordinator

New Vista Health and Wellness is currently recruiting a Utilization Review Coordinator for our team in Columbus, OH!

The New Vista mission: Inspiring Hope, Restoring Peace of Mind, Healing Lives. At New Vista, our passionate and highly trained team of professionals inspires hope and delivers 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. With a blend of group therapy, clinical treatment, and unique surroundings, our beautiful healthcare centers provide a safe, serene, healing environment for adults and seniors with a variety of complex needs.

Our compassionate team members work in a challenging yet rewarding environment where each person is a part of making direct impact on our patient's lives.

Come join our team as Utilization Review Coordinator at Solero Columbus!

Perks at Work

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

Up to $15,000 in Tuition Reimbursements OR Student Loan forgiveness

Handle with Care Trainer – Certifications

On the spot recognition

Prizes

Team Member of the Quarter

Team Member of the Year

Monthly Celebrations

Team Member Recognition Cards

Education

High school diploma or GED (Required)

Bachelor's Degree in Nursing, Social Work, Mental Health/Behavioral Sciences, or related field preferred.

Previous Utilization Review experience in a behavioral healthcare facility preferred.

Job Responsibilities

Obtain initial authorizations and provide discharge notifications for inpatient and outpatient behavioral health treatment.

Coordinate authorization information with third party payors in a timely manner.

Complete thorough and accurate documentation in all required systems.

Maintain communication system based on documentation and verbal exchange regarding treatment with other UM staff and staff at the facilities as needed.

Reports appropriate denial and authorization information to designated resource.

Assist UM Specialists in scheduling and following up on results of Peer to Peer requests for physicians and CNP.

Provide support to the UM Specialists.

Skills

Ability to multi-task

Strong organization skills

Strong problem-solving skills

Ability to work well independently and as a part of a team