Care Manager (Utilization Review)

UHS of Delaware, Inc.
SAN ANTONIO, TX Full Time
POSTED ON 9/5/2022 CLOSED ON 4/3/2023

Job Posting for Care Manager (Utilization Review) at UHS of Delaware, Inc.

Responsibilities

UTLIZATION REVIEW/CARE MANAGEMENT - FT

 

KEY RESPONSIBILITIES:

  • Admission and continued stay reviews to ensure that care meets the clinical needs of the clients and reduces financial risk to the facility.
  • Participates in measures to improve the delivery and utilization of care and to evaluate the effectiveness of these. Enters all authorizations into the MS4/Midas daily.
  • Expert in documentation, communication, teamwork, and customer service. Advocates for internal and external customers including the client, family, physician, Treatment Team and Managed Care Organization.
  • Works in partnership with the Physician through rounds and staffing to facilitate compassionate patient communication and advocacy, effective Treatment Team planning and timely discharge planning.
  • Provides a strategic link between the Managed Care Organization, Treatment Team goals and the financial aspects of care.
  • Since 1987, Laurel Ridge Treatment Center has been the premier provider of specialized behavioral health and addictive disease services in San Antonio and South Texas. Our 330-bed facility is one of the largest freestanding psychiatric hospitals in the United States. Set on a therapeutic 29-acre campus in north central San Antonio, Laurel Ridges serves as the setting for the treatment for children, adolescents, young adults, adults, veterans and military personnel. Laurel Ridge’s comprehensive programs treat disorders such as bipolar disorder, psychological trauma, PTSD, depression and anxiety, mental illnesses and addictive disease disorders such as alcoholism, drug addiction and substance abuse.

     

    Laurel Ridge Treatment Center is part of one of the nation’s largest and most respected hospital companies, Universal Health Services, Inc. (UHS). UHS has been recognized as one of the World’s Most Admired Companies by Fortune for 10 years in a row.

     

    Universal Health Services (UHS)

     

    One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, our annual revenues were $10.77 billion in 2018. In 2020, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; in 2019, ranked #293 on the Fortune 500; and in 2017, listed #275 in Forbes inaugural ranking of America’s Top 500 Public Companies. Headquartered in King of Prussia, PA, UHS has more than 87,000 employees and through its subsidiaries operates 26 acute care hospitals, 327 behavioral health facilities, 40 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and

    various related services located in 37 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.

     

     

    Qualifications

    SKILLS, KNOWLEDGE AND ABILITIES:  Good verbal and written skills.  Ability to maintain confidentiality.  Some knowledge of Joint Commission, CMS, Tricare standards.  Computer skills and knowledge of basic case management/utilization review principles.

     

    EDUCATION: MA/MSW OR RN with Bachelor’s degree.

     

    LICENSURE/CERTIFICATION:   LPC or RN preferred.

     

    EXPERIENCE:  Five or more year's direct psychiatirc patient care expeirence preferred.

               

    WORK HOURS:   Monday through Friday 8 am to 5 pm.

     

    We can offer you (Benefits):

    • 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
    • Tuition Assistance

     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.

     

    Notice

     

    At UHS and all subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates with matching skillset and experience with the best possible career at UHS and our subsidiaries.  We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail etc. If you feel suspicious of a job posting or job-related email, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449

     UHS is a registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a wholly-owned subsidiary of Universal Health Services, Inc. Universal Health Services, Inc. is a holding company and operates through its subsidiaries including its management company, UHS of Delaware, Inc. All healthcare and management operations are conducted by subsidiaries of Universal Health Services, Inc. To the extent any reference to UHS or UHS facilities on this website including any statements, articles or other publications contained herein relates to our healthcare or management operations it is referring to Universal Health Services' subsidiaries including UHS of Delaware. Further, the terms "we", "us", "our" or "the company" in such context similarly refer to the operations of Universal Health Services' subsidiaries including UHS of Delaware. Any employment referenced in this website is not with Universal Health Services, Inc. but solely with one of its subsidiaries including but not limited to UHS of Delaware, Inc. UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at UHS via email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means.

     

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