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Utilization Management Coordinator

2 months ago

Dover, United States Universal Health Services Full time

Dover Behavioral Health System

is a 104-bed, acute care psychiatric hospital located in the beautiful Dover, Delaware area. Dover Behavioral Health System features individual units for adolescents and adults and offers inpatient acute care, partial hospitalization, and intensive outpatient programs. On average, over 10,000 patients receive care from our compassionate health care team each year at Dover Behavioral Health System. This opportunity offers working at a hospital known for its outstanding patient satisfaction, including ranking 6th for highest patient satisfaction in 2020 compared to over 200+ psychiatric hospitals. We attribute this success to our talented and dedicated staff. We are the best at what we do Dover Behavioral Health system is seeking qualified candidates for our

Utilization Management Coordinator - Full-Time

position. In this role, you will proactively monitor utilization of continuum services and optimize reimbursement. Responsibilities will include: Conduct admission reviews in collaboration with Assessment and Referral Services to ensure up-to-date admissions information. Perform concurrent and extended stay reviews at appropriate intervals. Prepare and submit appeals to third-party payors, collecting necessary data for hospital and patient support. Ensure timely communication of discharge information to insurance companies within 24 hours, and maintain updated logs and records for the Utilization Review department. Responsibilities

Dover Behavioral Health System

is a 104-bed, acute care psychiatric hospital located in the beautiful Dover, Delaware area. Dover Behavioral Health System features individual units for adolescents and adults and offers inpatient acute care, partial hospitalization, and intensive outpatient programs. On average, over 10,000 patients receive care from our compassionate health care team each year at Dover Behavioral Health System. This opportunity offers working at a hospital known for its outstanding patient satisfaction, including ranking 6th for highest patient satisfaction in 2020 compared to over 200+ psychiatric hospitals. We attribute this success to our talented and dedicated staff. We are the best at what we do Dover Behavioral Health system is seeking qualified candidates for our

Utilization Management Coordinator - Full-Time

position. In this role, you will proactively monitor utilization of continuum services and optimize reimbursement. Responsibilities will include: Conduct admission reviews in collaboration with Assessment and Referral Services to ensure up-to-date admissions information. Perform concurrent and extended stay reviews at appropriate intervals. Prepare and submit appeals to third-party payors, collecting necessary data for hospital and patient support. Ensure timely communication of discharge information to insurance companies within 24 hours, and maintain updated logs and records for the Utilization Review department.

Qualifications

Minimum: MSW or MS in a recognized mental health field

or

a Registered Nursing License One (1) year experience in case management

and/or

hospital experience Preferred: One (1) year experience as a Utilization Management Coordinator at a long-term care facility About Our Parent Company (Universal Health Services): One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. Avoid and Report Recruitment Scams At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

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