Grievance Coordinator jobs in the United States

Responsibilities

Fort Lauderdale Behavioral Health Center, a subsidiary of UHS , is a beautiful, conveniently located, private 180-bed hospital that specializes in the treatment of drug addiction, mental health issues and concurrent disorders for adults as well as adolescents.

Our professional staff members are committed to providing compassionate, comprehensive care that uniquely fits the intensity and severity of each patient’s needs.

This commitment extends to the family and community of our patients as a whole.

We offer a continuum of mental health and addiction services in a confidential, caring environment that promote crisis resolution, positive self- awareness, personal growth and problem-solving capabilities.

Our overall goal is to provide patients the highest quality treatment possible for drug abuse and mental health issues in order to help them achieve good health and long-term sobriety.

We are pleased to announce the following available position :

Utilization Management Coordinator - Denials, Appeals & Grievances

The main duties of the UM Coordinator are : to coordinate and monitor appropriate utilization and documentation of services throughout the course of treatment for patients admitted to the inpatient and outpatient programs and coordinate authorization with third-party payors.

UM Coordinators also review cases for appropriateness of admission, continued stay, and discharge planning. They assist in the promotion and maintenance of high quality patient care through the analysis, review and evaluation of clinical practices within the Behavioral Health Center.

Other duties include; recommending plans of corrective action and monitoring the impact of the action taken; maintaining communication system based on documentation and verbal exchange regarding treatment;

and communicating with internal and external entities to facilitate acquisition of resources.

Qualifications

Education / Training :

• Master’s Degree, or RN Licensure from an accredited college or university in social work, mental health or a related field.
• Crisis Prevention Intervention (CPI) required or equivalent

Experience :

• A minimum of two (2) years direct clinical experience in a psychiatric or mental health setting.
• Experience in patient assessment, family motivation, and communication with external review organization or comparable entities.

Knowledge and Skills :

• Skills in application of DSM methodology.
• Excellent telephone etiquette, tact, and audible speech, with good enunciation.
• Ability to interact effectively with persons of widely diverse roles, backgrounds, cultures, and socio- economic classes.
• Effective oral and written communication skills and skills in analyzing and evaluating information.
• Ability to concentrate on tasks and meet deadlines.
• Intermediate computer skills.
• Organizational, time management, problem solving, crisis management skills as well as flexibility, creativity, and the ability to manage stress
• Understand appropriate clinical assessment, diagnoses, & interventions with patients.
• Understand admission and discharge criteria and function.
• Understand medical terminology, diagnostic terms, treatment modalities, and medical record keeping.
• Understand psychiatric evaluations, medical consultations, lab results, medication management, and other components of patient treatment.
• Sensitive and aware of diverse cultures and their practices

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates.

UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries.

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Last updated : 2024-10-04