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Utilization Review Coordinator

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Full-time
On-site
Philadelphia, Pennsylvania, United States
Healthcare Insurance and Claims

The Renfrew Center offers an unmatched opportunity, in the field of eating disorders, for a Utilization Review Coordinator to work in an environment that changes lives. The Renfrew Center has opportunities for individuals of all backgrounds, that have the desire and passion to foster a positive outcome and impact on our patients’ lives.

The Renfrew Center’s research-based treatment model, for eating disorders, is focused on treating the whole person and helping them lead a rich and fulfilling life.

Our commitment to you – We are committed to providing every employee the opportunity for personal and professional development through:

  • 401(k) with company match
  • Healthcare benefits
  • Vacation and sick days
  • Employee referral program
  • Employee discounts to various stores, amusement parks, events, etc.
  • Continuing education (CE) programs and training
  • Advancement opportunities within the organization

Position Responsibilities: 

  • Complete daily treatment pre-certifications with insurance/managed care companies.
  • Complete daily concurrent reviews with insurance/managed care companies.
  • Understand and present acuity, rationale for continued stay, treatment goals and discharge criteria from a medical record. 
  • Be familiar with various managed care companies medical necessity criterion and appropriate application, to guide the concurrent review process. 
  • Maintain accurate and complete documentation, including computer documentation. 
  • Participate and effectively collaborate with a treatment team as an active team member.
  • Demonstrate an understanding of the functional/developmental age of the individual served.

Education, Competencies and Credentials:  

  • Master’s degree in Human Services, Psychology, or Social Work required.
  • A minimum of 1-2 years of training/working in a residential or health care facility is required.
  • Previous experience working with eating-disorder patients is highly preferred.  Familiarity with psychiatric disorders is required. 

Hours: 40 hours per week, Monday through Friday.

The Renfrew Center provides women with the tools they need to succeed — in recovery and life. Offering a warm, nurturing environment, Renfrew emphasizes respect for the unique psychology of women, the importance of a collaborative, therapeutic relationship, and the belief that every woman needs to actively participate in her growth and recovery.

The Renfrew Center – An Equal Employment Opportunity Employer, devoted to diversity, equity, and inclusion.