Utilization Review Coordinator

Job Description

Job Description

Description :

The Renfrew Center of Philadelphia, offers an unmatched opportunity, in the field of eating disorders, for a Utilization Review Coordinator to work in an environment that changes lives. The Renfrew Center has opportunities for individuals of all backgrounds, that have the desire and passion to foster a positive outcome and impact on our patients’ lives.

The Renfrew Center’s research-based treatment model, for eating disorders, is focused on treating the whole person and helping them lead a rich and fulfilling life.

Our commitment to you – We are committed to providing every employee the opportunity for personal and professional development through :

401(k) with company match

Healthcare benefits

Vacation and sick days

Employee referral program

Employee discounts to various stores, amusement parks, events, etc.

Continuing education (CE) programs and training

Advancement opportunities within the organization

Position Responsibilities :

Complete daily treatment pre-certifications with insurance / managed care companies.

Complete daily concurrent reviews with insurance / managed care companies.

Understand and present acuity, rationale for continued stay, treatment goals and discharge criteria from a medical record.

Be familiar with various managed care companies medical necessity criterion and appropriate application, to guide the concurrent review process.

Maintain accurate and complete documentation, including computer documentation.

Participate and effectively collaborate with a treatment team as an active team member.

Demonstrate an understanding of the functional / developmental age of the individual served.

Requirements :

Education, Competencies and Credentials :

Master’s degree in Human Services, Psychology, or Social Work required.

A minimum of 1-2 years of training / working in a residential or health care facility is required.

Previous experience working with eating-disorder patients is highly preferred. Familiarity with psychiatric disorders is required.

Hours : 40 hours per week, Monday through Friday.

The Renfrew Center provides women with the tools they need to succeed — in recovery and life. Offering a warm, nurturing environment, Renfrew emphasizes respect for the unique psychology of women, the importance of a collaborative, therapeutic relationship, and the belief that every woman needs to actively participate in her growth and recovery.

The Renfrew Center – An Equal Employment Opportunity Employer, devoted to diversity, equity, and inclusion.