Job Information
BronxCare Health System Coord-Behavioral Health Ult Mg in Bronx, New York
Overview
The Coordinator-Behavioral Health Utilization Management (BH-UMC) will review and monitor all patientsadmitted into psychiatry or substance abuse for appropriateness of admission according to nationally recognizedcriteria.
Responsibilities
The Coordinator-Behavioral Health Utilization Management (BH-UMC) will review and monitor all patientsadmitted into psychiatry or substance abuse for appropriateness of admission according to nationally recognizedcriteria. The BH-UMC will monitor discharge plan, continued stay, provide clinical information to managed careplans or other intermediaries in order to secure certification status and reimbursement for the hospital. The BHUMC will collaborate with the physician, social worker and nursing to insure that discharge plan is implementedtimely, communicated to health plan and executed within appropriate length of stay allowances. The BH-UMCwill work under the direction of the Case Manager assigned to Behavioral Health in order to insure that all patientsare reviewed and certified. The BH-UMC will collaborate and communicate with all members of the BehavioralHealthcare team to insure that patients designated for admission have all necessary documentation to meetadmission criteria for reimbursement purposes. The BH-UMC will facilitate discharges and assist the dischargeplanning process by identifying delays/barriers to discharge.
Knowledge of Medicare, Medicaid, Managed Care and OASIS guidelines, medicalnecessity criteria pertaining to psychiatry and substance abuse.
Knowledge of federal and state regulatory guidelines governing Behavioral Health
Qualifications
Minimum of three (3) years experience specifically in Behavioral Health Utilization review and casemanagement.Managed Care or Discharge Planning experience in Behavioral Health a plus.
Bachelors/Masters
Job LocationsUS-NY-Bronx
ID2024-4627
Category Administrative/Clerical
Position Type Regular Full-Time
Division Bronxcare - Fulton
Max USD $83,300.00/Yr.
Shift Day Shift
Department : Name Case Management (BHCS)
