Utilization Review Coordinator

Job Title: Utilization Review Coordinator  

Reports To: Assistant Administrator                                         

Supervises: None  

Position Type: Full Time

Hours of Work: 8am-4pm

Schedule: M-F

Utilization Review Coordinator Job Description

Responsibilities: 

• Responsible for prior- authorizations with client’s insurance provider
• Responsible for concurrent reviews, and sending discharge plans to insurance provider
• Responsible to be patients advocate with their insurance provider
• Responsible for collaborating with treatment team to gather information for insurance providers 
• Responsible for entering all authorizations in EMR system in patients’ chart 
• Maintains relationships with insurance providers for facility, and informs treatment team of any updates or changes from MCO’S 
• Works closely with Billing Coordinator 
• Other duties as assigned

Qualifications: 

• Graduate of a practical or vocational nursing program
• Current license to practice nursing in the state of Louisiana
• Minimum of 1 year experience in a clinical setting
• Current CPR certification
• Minimum of 2 years uninterrupted sobriety if in personal recovery
• Strong interpersonal skills
• Strong knowledge of Microsoft Office and related software
• Strong oral and written communication skills
• 2 years or more of medical office experience, mental health preferred
• Must be able to perform essential job functions of this job