UR Coordinator

State of Maryland•Montgomery, MD

2d•Onsite

About The Position

This position will submit all initial and continued stay requests to the Administrative Services Organization (ASO) in a timely fashion, to keep clinical staff abreast of documentation requirements as they relate to ASO reviews, and to coordinate internal activities of John L. Gildner RICA's (JLG-RICA’s) Utilization Review Committee.

Requirements

Graduation from an accredited high school or possession of a high school equivalency certificate.
Three years of professional experience in assisting in the coordination of a health-related program(s) or referring people to governmental and private resources.
Candidates may substitute 30 college credit hours from an accredited college or university on a year-for-year basis for the required experience.
Candidates may substitute U.S. Armed Forces military service experience as a commissioned officer in Health Care Administration classifications or Civil Affairs Specialist specialty codes in the health-related field of work on a year-for-year basis for the required experience and education.

Nice To Haves

Experience with accessing the National Practitioner Data Bank to include familiarity with the process of enrolling practitioners
Experience collecting clinical information from medical/mental health practitioners and using the data to conduct authorizations with administrative service organizations or insurance companies for initial or continued stays
Experience as a member of a utilization review committee with familiarity in documentation standards for medical necessity criteria in residential psychiatric unit