What are the responsibilities and job description for the UTILIZATION COORDINATOR position at UHS?
Responsibilities
Cedar Hills Hospital is a 98-bed, freestanding psychiatric hospital and outpatient center specializing in mental health and substance use disorder treatment. Cedar Hills Hospital provides a wide range of services and programs that offer evidence-based treatment proven to have positive outcomes for our patients. Our inpatient and outpatient services offer supportive and compassionate care through specialty programs tailored to meet the needs of our patients.
Our hospital mission is to provide safe, effective, and compassionate mental health and substance abuse treatment to those in need.
Cedar Hills Hospital currently has an opening for a Utilization Management Coordinator who contacts external case managers/managed care organizations for pre-certification and re-certification of insurance benefits throughout the patient's stay, and assists the treatment team in understanding the insurance company's requirements for continued stay and discharge planning. The Utilization Management Coordinator is responsible for having a thorough understanding of the patient's treatment through communication with the treatment team. The Utilization Management Coorindator - prior authorizations advocates for the patient's access to services at admission and during treatment. Utilization Management Coordinator meets and communicates with therapists, case managers, physicians, nurses and other members of the patient team by attending daily meetings, responding to emails and phone calls promptly and through individual physician contact. The Utilization Management Coordinator chairs treatment team meetings, appearls to insurance for denied authorization, initiates authorizations and continued stay reviews as indicated.
Cedar Hills Hospital is part of one of the nation’s largest and most respected hospital companies; Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Steadily growing from a startup to an esteemed Fortune 500 corporation, UHS today has annual revenue nearing $10 billion. In 2017, UHS was recognized as one of the World’s Most Admired Companies by Fortune; ranked #276 on the Fortune 500, and listed #275 in Forbes inaugural ranking of America’s Top 500 Public Companies. Our operating philosophy is as effective today as it was 40 years ago: Build or acquire high quality hospitals in rapidly growing markets, invest in the people and equipment needed to allow each facility to thrive, and become the leading healthcare provider in each community we serve. Headquartered in King of Prussia, PA, UHS has more than 81,000 employees and through its subsidiaries operates more than 320 acute care hospitals, behavioral health facilities and ambulatory centers in the United States, Puerto Rico, the U.S. Virgin Islands and the United Kingdom.
Qualifications
Education: Master's degree from an accredited college or university in social work, mental health, nursing, or related field preferred.
Experience: A minimum of two (2) years of experience in a healthcare setting or managed care company, with experience in patient assessment, treatment planning utilization management, and/or case management.
Licensure: R.N., L.M.S.W., LPC or other healthcare related licensure.
Training: Successful completion of CPR, First Aid, Crisis Management and Service Excellence training must occur within 90 days of employment and prior to assisting in any restraining procedures.
May be required to work occasional overtime and flexible hours.
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.
https://jobs.uhsinc.com/cedar-hills-hospital/jobs
Salary : $10 - $0
