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Utilization Manager Medical Practice Coordinator Nursing [0555-5] E

Company: Texas Panhandle Centers
Location: Amarillo
Posted on: June 12, 2021

Job Description:

Position: Utilization Manager- Medical Practice Coordinator Nursing [0555-5] E

Program: Amarillo, Texas Utilization Management

Salary: $58,406.40 $62,170.37 Annually

Shift Available: Full Time

Essential Duties and Responsibilities:

  • Staff will maintain ethical and professional communications at all times using respectful Trauma Informed Care language.
  • This position serves as the Medical Practice Coordinator and will be responsible for coordinating and monitoring Utilization Management services with TPC staff and contracted providers, as well as documentation of such activities.
  • Conducts utilization review and grants or denies same-day authorization requests for all behavioral health levels of care and services in accordance with HHSC UM Guidelines; monitors service delivery and outcomes to ensure services are not over-utilized or under-utilized; participates in and conducts provider training regarding the UM process, adherence to UM guidelines; and provides consultation when needed.

Required qualifications to be successful in the job:

  • Current Licensure as an RN, PA, LCSW, or LPC in the state of Texas, and has at least five (5) years experience in direct care of individuals with a serious mental illness and/or children and youth with serious emotional disturbances, which may include experience in an acute care or crisis setting; documented training within the past three (3) years in psychopharmacology and medical/psychiatric co-morbidity; at least one (1) year experience in program oversight of behavioral health care services; and demonstrated competence in performing UM and review activities.
  • Must have a valid Texas drivers license and be insurable under agency vehicle policy
  • Must be 18 years or age or older

Preferred qualifications to be successful in the job:

  • Experience and knowledge related to behavioral health clinic structure and processes.

At TPC, passion and meaningful work is rewarded! We offer employees:

  • Robust benefit offerings Medical, Urgent Care visits for a low $10 co-pay, Dental, and Vision
  • Employer Paid Life Insurance (1.5 times employees salary)
  • Employer Match up to 6% in the 403 (b) or 457 Retirement Savings Plan
  • Paid Time Off PTO accrual, Holidays and annual Floating Holiday
  • Additional Supplemental Coverage available i.e. Disability, Accidental, Cancer, Critical Care, and Section 125 Flexible Spending Account Plan
  • 501(c)(3) designation You can apply for the Public Service Student Loan Forgiveness

Keywords: Texas Panhandle Centers, Amarillo , Utilization Manager Medical Practice Coordinator Nursing [0555-5] E, Other , Amarillo, Texas

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