Utilization Review Specialist

7 days ago


Fort Washington, Pennsylvania, United States UHS Full time
Job Summary

We are seeking a highly skilled Clinical Review Coordinator to join our team at Universal Health Services (UHS). As a Clinical Review Coordinator, you will play a critical role in facilitating clinical pertinence reviews on patient admissions and continued stays, ensuring that our patients receive the highest level of care.

Key Responsibilities
  • Facilitate clinical pertinence reviews on patient admissions and continued stays
  • Complete certifications and interfaces with managed care organizations, external reviewers, and other payors
  • Collaborate with healthcare professionals to ensure accurate and timely reviews
  • Develop and maintain knowledge of clinical guidelines and regulations
  • Provide exceptional customer service to patients, families, and healthcare providers
Requirements
  • Masters degree in social work, mental health/behavioral sciences, or related field
  • Experience in patient assessment, treatment planning, case management, or utilization review
  • Strong communication and interpersonal skills
  • Ability to work in a fast-paced environment and prioritize multiple tasks
  • Knowledge of psychotropic medication and SI/IS admission and continued stay criteria
About UHS

Universal Health Services (UHS) is one of the nation's largest and most respected providers of hospital and healthcare services. We are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates.



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