Utilization Review Coordinator

We utilize a multidisciplinary team approach to provide comprehensive evaluations and evidence-based treatment (and educational) interventions with the intent to increase each youth’s level of functional independence. Our team also works diligently to address or manage medical conditions and challenging behaviors that are often associated with individuals who are diagnosed with neurodevelopmental disorders. We challenge our residents to adapt to and apply learned skills within new environments and situations, and to maintain functional use of these skills when they return to their homes or other community-based settings.

Visit us online: www.thehughescenter.com

Position

Summary

Serves as provider for resident-centered services that promote coordinated, effective treatment by facilitating the communication exchange between referral source, physician/treatment team and payor and managing timely transitions through the phases of residential care.

Benefits

https://benefits.uhsguest.com/

• Home/Work Life Balance

• Excellent Medical, Dental, Vision, and Prescription Drug plans

• 401(k) Retirement Plan with company match

• Life Insurance

• Flexible Spending or Health Savings Account

• Generous Paid Time Off

• Career Development Opportunities within UHS and its subsidiaries

• A Challenging and Rewarding Work Environment

• Free meals!

• Company stock purchase discount

• Employee Assistance Program

Key Accountabilities &

Duties

• Facilitates communication regarding resident treatment process and needs with referral sources and payor.

• Keeps accurate records of the authorizations for residents in treatment.

• Ensures coordinated effective resident care including admission, continued stays, and discharge requirements.

• Ensures positive relationships with external and internal customers.

• When appropriate, travel to resident’s community representing the facility at FAPT meetings and court hearings.

• Ensures continued availability (recertification) of financial resources throughout the residents’ stay.

• Develop systems to review and respond to concerns expressed by customers. Together with the appropriate Department head, he/she works to resolve issues to satisfaction of the customer and facility.

• Review of clinical patient data with third party reviewers to substantiate the need for continued hospital level of care of ongoing participation in treatment programs.

• Communicate and coordinate third party reviewer’s level of care decisions and expectations to appropriate clinical and administrative staff.

• Assist in preparing Utilization Review Reports as necessary.

• Coordinates and makes Retrospective Appeals to third party payers.

• Meets weekly with Administrator on appropriate issues.

• Other duties as assigned based on the needs of the facility.

Requirements

• A bachelors degree required; masters degress preferred (Social work, Counseling, Nursing)

• A minimum of three (3) years direct clinical experience in a psychiatric or mental health setting.

• Experience in patient assessment, family motivation, treatment planning and communication with external review organizations or comparable entities.

• Basic understanding of and comfort level with medical terminology, residential treatment, clinical science/pathology and psychiatric disorders.

• Must know how to gather and analyze data. Must be articulate, assertive, and able to communicate effectively with families, payors, therapists and physicians both verbally and in writing.

• Must demonstrate initiative, tact and good judgement. Must be able to acquire clear understanding of treatment priorities and ability to make sound decisions balancing resident and family needs with available resources.

• Must have basic computer skills.

Licensure

LMHC, LPC, LMSW, LCSW, or RN preferred.

About Universal Health Services

Headquartered in King of Prussia, PA, Universal Health Services, Inc. (NYSE: UHS) is one of the nation’s largest and most respected providers of hospital and healthcare services. Since our founding in 1979, UHS has grown steadily into a premier Fortune 500® corporation perennially recognized by multiple esteemed national rating entities. Through its subsidiaries, UHS operates inpatient acute care facilities, inpatient behavioral health facilities, outpatient and other facilities, nationwide virtual behavioral health services, an insurance offering, a physician network and various related services with physical locations in the U. S., Puerto Rico, Ireland and United Kingdom. www.uhs.com.

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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.

Avoid and Report Recruitment Scams

We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.

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.

Pay: $26.00 - $35.00 per hour Expected hours: 40.0 per week

Benefits

• 401(k)

• 401(k) matching

• Dental insurance

• Employee assistance program

• Employee discount

• Flexible spending account

• Health insurance

• Health savings account

• Life insurance

• Paid time off

• Parental leave

• Professional development assistance

• Referral program

• Retirement plan

• Tuition reimbursement

• Vision insurance

Application Question(s)

• Please specify clinical licensure, if applicable.

• Please share your salary requirement.

Education

• Bachelor's (Required)

Ability to Commute

• Danville, VA 24540 (Required)

Work Location: In person