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Smokey Point Behavioral Hospital · 19 hours ago

Clinical Utilization Management Coordinator (UM)

Marysville, WA

Full-time

Onsite

Entry, Mid Level

$25/hr - $38/hr

2+ years exp

Smokey Point Behavioral Hospital is seeking a Clinical Utilization Management Coordinator to support patients and the treatment team by ensuring continued access to appropriate levels of care. This role involves advocating for medical necessity with payers and guiding treatment plans through clinical collaboration and strategic review.

Addiction TreatmentHealth CareHospitalMedicalMental Health

Responsibilities

Review clinical documentation to support continued stay authorizations

Review the treatment plan and advocate for additional services as indicated

Promote effective use of resources for patients

Ensure that patient rights are upheld

Maintain ongoing contact with the attending physician, program manager, nurse manager, and various members of the team

Collaborate with the treatment team regarding continued stay and discharge planning issues

Advocate that the patient is placed in the appropriate level of care and program

Interface with program staff to facilitate a smooth transition at the time of transfer or discharge

Qualification

Utilization managementPatient assessmentTreatment planningCase managementHealthcare experienceAdvocacyCollaborationCommunication

Required

Bachelor's or Master's degree from an accredited college or university in social work, mental health, nursing, or a related degree is required

At least two (2) years' experience in a healthcare setting or managed care company, with experience in patient assessment, treatment planning, utilization management, and/or case management