Utilization Review Technician conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Being a Utilization Review Technician reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Additionally, Utilization Review Technician consults with nurses and physicians as needed. Position is non-RN. May require an associate degree or its equivalent. Typically reports to a supervisor. May require Registered Health Information Technician (RHIT). The Utilization Review Technician gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Utilization Review Technician typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
Responsibilities
WHO WE ARE
Valle Vista Health System (a UHS affiliated facility) is a 132-bed, acute care psychiatric hospital located in the beautiful community of Greenwood, IN.
Valle Vista Health System features individual units for children, adolescents, adults, and seniors, and offers inpatient acute care, partial hospitalization, and intensive outpatient programs.
On average, over 10,000 patients receive care from our compassionate health care team each year at Valle Vista Health System.
Valle Vista Health System is proud to be a teaching facility that supports local nursing students through our dedicated and tenured nursing team.
POSITION SUMMARY
The UR Coordinator is responsible for managing the treatment activities offered to the patient, including the appropriate clinical screening of admissions, establishment of treatment plans, interface with the treatment team / external case managers / managed care organizations and implementation and supervision of the discharge planning.
Qualifications
QUALIFICATIONS
Education : Bachelor’s degree from an accredited college or university in social work, mental health or a Nursing degree is preferred.
Experience : A minimum of two (2) 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.
Licensure : Must be licensed eligible in the state of Indiana or have a current license as an L.V.N., R.N., L.M.S.W. or LPC.
Additional Requirements : Complete knowledge of crisis intervention techniques.
Work Hours : Part-time Days 20 hours per week.
BENEFIT HIGHLIGHTS
ABOUT UNIVERSAL HEALTH SERVICES (UHS)
One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc.
UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $14.
3 billion in 2023. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies.
Headquartered in King of Prussia, PA, UHS has approximately 96,700 employees and continues to grow through its subsidiaries.
Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.
S. States, Washington, D.C., Puerto Rico and the United Kingdom.
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.
AVOID AND REPORT RECRUITMENT SCAMS
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.
Last updated : 2024-03-23