Utilization Review Coordinator-Behavioral Health
The UR Coordinator is responsible for conducting utilization and quality management activities in accordance with Utilization Review policies and procedures.
- Unit and setting
- Psych · Behavioral Health treats adolescents, adults and senior adults in need of psychiatric servicesadolescents, adults and senior adults in need of psychiatric services
- License
- RN license Registered Nurse preferred, with SC licensure
- Term
- Permanent
Do you qualify?
Preferred
- License
- Registered Nurse preferred, with SC licensure Check your license
- Experience
- 1 to 3 years in utilization review, case management, or discharge planning One to three years of experience in utilization review, case management, or discharge planning preferred.
- Experience
- 3 years in a Behavioral Health facility providing multiple levels of care Three years of experience in a Behavioral Health facility providing multiple levels of care preferred.
- Also asks
- Prior experience in Medical Records Prior experience in Medical Records a Plus.
What it pays
Benefits
- BenefitsChallenging and rewarding work environmentChallenging and rewarding work environment
- BenefitsCompetitive compensation and generous paid time offCompetitive Compensation & Generous Paid Time Off
- BenefitsMedical, dental, vision and prescription drug plansExcellent Medical, Dental, Vision and Prescription Drug Plans
- Benefits401(k) with company match and discounted stock plan401(K) with company match and discounted stock plan
- BenefitsSoFi student loan refinancing programSoFi Student Loan Refinancing Program
- BenefitsCareer development opportunities within UHS and its 300+ subsidiariesCareer development opportunities within UHS and its 300+ Subsidiaries!
More benefits (3)
- Generous Paid Time Off
- 401(k) with company match
- Discounted stock plan
The role and schedule
- Day to day
- Analyze, review and evaluate clinical criteria tied to treatment and length of stay
- Day to day
- Review cases for admission, continued stay and discharge planning Reviewing cases for appropriateness of admission, continued stay, and discharge planning.
- Day to day
- Manage insurance benefits through prospective, concurrent and retrospective review Managing and effectively utilizing insurance benefits through timely prospective, concurrent, and retrospective review activities.
- Day to day
- Track patient funding sources, discharge needs and available resources Maintains an awareness of patient funding sources, discharge planning needs, and available resources in order to facilitate continuity of care.
- Day to day
- Plan and organize Case Management system functions to minimize denials of payment Plans and organizes the functions of the facilities Case Management system to minimize denials of payment.
- Day to day
- Perform telephonic reviews for inpatient Mental Health and Dual Diagnosis services Performs prospective, concurrent and retrospective telephonic reviews for inpatient Mental Health and Dual Diagnosis services.
- Day to day
- Promote alternative care programs and research placement options and costs with discharge planners and patients Promotes alternative care programs and researches available options including costs and appropriateness of patient placement in collaboration with discharge planners and patients.
The workplace
Worth asking
- Can you walk me through base pay range and differentials?
- What should I expect for shifts, weekly hours, weekend, holiday, call, and rotation?
More questions to askFewer questions
- What orientation, preceptor time, and ongoing unit support are included?
- How are patient load, floating, and staffing support handled day to day?
Ask Mira
Your fit
On your path
Psychiatric is open from year one. Behavioral health spans inpatient, emergency, and community settings.
Original listing
Posted on UHS’ careers page.
Read full text
Responsibilities
Utilization Review Coordinator Opportunity!
Lighthouse Behavioral Health Hospital, located near beautiful Myrtle Beach, SC, treats adolescents, adults and senior adults in need of psychiatric services, as well as adults who suffer from a chemical dependency, dual diagnosis, or are in need of rehabilitation. Lighthouse offers 24-hour admissions, needs assessment, and referral services.
Position Summary
The UR Coordinator is responsible for conducting utilization and quality management activities in accordance with Utilization Review policies and procedures. The Coordinator performs the overall function of providing an ongoing, systematic process for the measurement and assessment of the necessity, appropriateness, and efficiency of facility healthcare services and procedures.
- Assisting in the promotion and maintenance of high quality care through the analysis, review, and evaluation of clinical criteria as it relates to patient treatment and length of stay.
- Reviewing cases for appropriateness of admission, continued stay, and discharge planning.
- Managing and effectively utilizing insurance benefits through timely prospective, concurrent, and retrospective review activities.
- Complies with all Administrative, Clinical, and HR policies and procedures.
- Maintains an awareness of patient funding sources, discharge planning needs, and available resources in order to facilitate continuity of care.
- Plans and organizes the functions of the facilities Case Management system to minimize denials of payment.
- Performs prospective, concurrent and retrospective telephonic reviews for inpatient Mental Health and Dual Diagnosis services.
- Promotes alternative care programs and researches available options including costs and appropriateness of patient placement in collaboration with discharge planners and patients.
Benefit Highlights
- 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!
- More information is available on our Benefits Guest Website: uhsguest.com
About Universal Health Services
One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U. S. States, Washington, D. C., Puerto Rico and the United Kingdom.
If you would like to learn more about the Utilization Review Coordinator Position before applying, please contact Shayla Stokely, Director of Human Resources, at shayla.stokely1@uhsinc.com
Qualifications
Requirements
- Registered Nurses, Preferred. With licensure to practice in SC.
- One to three years of experience in utilization review, case management, or discharge planning preferred.
- Three years of experience in a Behavioral Health facility providing multiple levels of care preferred.
- Prior experience in Medical Records a Plus.
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.
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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.
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What's around it?
CONWAY, SC
Living costs about 6% below the US average