UR Coordinator- Full-Time
Haven Behavioral Healthcare

Haven Behavioral Hospital of Frisco is seeking caring and compassionate people to join our team of devoted healthcare professionals.

Shifts: Full Time Days (8am - 5pm)

Why Haven of Frisco?

Haven Behavioral Healthcare of Frisco is dedicated to partnering with individuals, families and communities to improve the lives of patients through the delivery of exceptional, specialty behavioral health services in communities across the country.

Our hospitals are committed to the highest standards of quality, safety and performance. We don't just treat the symptoms of mental illness or addiction; our care focuses on the whole person.

Working at Haven Behavioral Hospital of Frisco is more than a job; it's a career choice that allows you to create your own opportunities and cultivate a passion for the services provided while working through challenges. Bilingual a plus.

POSITION SUMMARY:

• Develops and implements systems for the authorization, concurrent and retrospective review of inpatient admissions and services.
• Supervises staff and the quality, efficiency and effectiveness of services delivered.
• Obtain authorization for each admitted patient.
• Review and monitor each step of the authorization process to proactively identify potential problems.
• Interact with physicians and therapists constantly to assure patient assessment and treatment plan is accurately and consistently reflected in facility documentation.
• Track enrollment status continuously to act on changes and initiate retrospective review as necessary.
• Monitor staff communication with external representatives to ensure it is professional and thorough.
• Maintain cumulative documentation regarding actions initiated by staff and self.
• Conduct reviews to ensure that services and documentation conform to the facility protocols, applicable laws and regulations and the requirements of funding sources.
• Collaborate with physicians, nurses, and therapists regarding medical necessity for stay, appropriateness of treatment and estimated length of stay.
• Attend meetings daily to obtain and present information on patient status, care and stay.
• Communicate authorization status, issues or problems to appropriate staff.
• Obtain and maintain authorization for each patient. Problem-solve issues relating to stay or service.
• Respond quickly and effectively to requests for information.
• Nurture positive and professional relationships with external sources.

EDUCATION:

• Bachelors Degree in Behavioral Health field or equivalent experience.

EXPERIENCE:

• Two years clinical experience in a psychiatric setting. Knowledge of medical terminology and insurance and billing practices is essential to this position.
• Licensed clinician and any prior experience in UM preferred but not required.

Haven Behavioral Healthcare is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse workforce.

As mandated by the Centers for Medicare & Medicaid Services (CMS) all employees and regular contractors of Haven Behavioral Hospital of Frisco are required to obtain the COVID-19 Vaccine or receive approval for an exception prior to date of hire.