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Utilization Review Coordinator - Remote

Posted 3 days ago
All others
Full Time
Worldwide
$62,000 - $70,000/year

Overview

The Utilization Review Coordinator (UR Coordinator) plays a crucial role in managing all utilization reviews for Sandstone Care's detox, residential, partial hospitalization, intensive outpatient, and outpatient programs. This position involves conducting pre-authorization and concurrent reviews of medical records to ensure that admission criteria, treatment plans, and continued stays align with industry standards and support timely discharge planning. The UR Coordinator facilitates communication between third-party payers and clinical staff, ensuring that medical records accurately reflect the intensity and level of services provided. This role is integral in maintaining compliance with Joint Commission, federal, and state regulations.

In Short

  • Full-time position as a Utilization Review Coordinator.
  • Remote work opportunity.
  • Manage pre-authorization requests and concurrent reviews.
  • Collaborate with clinical and medical personnel.
  • Ensure compliance with clinical program policies.
  • Support therapeutic services and coordinate clinical services.
  • Lead weekly clinical meetings.
  • Participate in recruiting clinicians.
  • Maintain effective communication with families and agencies.
  • Demonstrate strong decision-making and emotional stability.

Requirements

  • Bachelor's degree required; master's degree preferred.
  • Licensed Practitioner in Colorado preferred.
  • Minimum of 3 years clinical experience in substance abuse treatment.
  • Ability to analyze medical records.
  • Strong interpersonal and communication skills.
  • Expertise in treatment planning and discharge coordination.
  • Ability to manage stressful situations.
  • Proficient in administrative tasks and documentation.

Benefits

  • Competitive compensation and total rewards package.
  • Flexible PTO package including accrued PTO and paid holidays.
  • High-quality medical, dental, and vision insurance.
  • Robust Employee Assistance Program.
  • Collaborative and supportive community of team members.

R.J.A.S.C

Remote Jobs At Sandstone Care

Sandstone Care is a dedicated provider of behavioral health services, focusing on enhancing the quality of care for individuals aged 13 to 30. With a commitment to innovation and professional growth, Sandstone Care fosters a collaborative, evidence-based environment where clinical leaders can thrive. The company emphasizes the importance of mentorship and training, ensuring that therapists are equipped with the necessary skills to deliver high-quality care. Sandstone Care is an equal opportunity employer, dedicated to creating a diverse and inclusive workplace that values and respects all employees.

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