Utilization Management Coordinator Position
4 days ago
The Utilization Management Coordinator is responsible for conducting admission and concurrent reviews in accordance with the hospital-wide Utilization Management Plan. This role serves as a liaison to 3rd and 4th party reviewers and conducts focused reviews as determined by the Utilization Management Committee. The coordinator maintains all records/data required through the UM Plan and Committee and appeals denied authorizations of dates of services when medical necessity for continued care is evident.
Responsibilities
The successful candidate will be responsible for:
- Conducting admission and concurrent reviews in accordance with the hospital-wide Utilization Management Plan.
- Serving as a liaison to 3rd and 4th party reviewers.
- Conducting focused reviews as determined by the Utilization Management Committee.
- Maintaining all records/data required through the UM Plan and Committee.
- Appealing denied authorizations of dates of services when medical necessity for continued care is evident.
Requirements
The ideal candidate will possess:
- A Bachelor's Degree in nursing or Master's Degree in psychology or mental/health/human services field.
- A minimum of three (3) years direct clinical experience in a medical-psychiatric, psychiatric or mental health setting.
- At least two years experience in utilization management.
- Skills in consumer assessment, motivating families and other resources, treatment planning, and communicating with external review organizations or comparable entities.
Benefits
Universal Health Services, Inc. (UHS) offers a competitive compensation package, including:
- Challenging and rewarding work environment.
- Competitive Compensation & Generous Paid Time Off.
- Excellent Medical, Dental, Vision and Prescription Drug Plans.
- 401(K) with company match and discounted stock plan.
- SoFi Student Loan Refinancing Program.
- Career development opportunities within UHS and its 300+ Subsidiaries.
About UHS
UHS is one of the nation's largest and most respected providers of hospital and healthcare services. With a commitment to quality and patient care, UHS has built an impressive record of achievement and performance. As a Fortune 500 corporation, UHS continues to grow through its subsidiaries, 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 throughout the United States, Washington, D.C., Puerto Rico and the United Kingdom.
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