Supervisor, Utilization Management
UHS
Summary
Under the direction of the Director, Utilization Management, the UM Supervisor provides oversight for the staff and work performed in the UR Department.
Job description
Job Duties/Responsibilities
- Ensure protocol for clinicians to review the patient's medical record on specific days to meet continued authorization.
- Ensure knowledge of staff regarding medical necessity, regulatory requirements and standards, i.e. Joint Commission, Title 9, CMS/Medicare guidelines, EMTALA, HIPAA, etc.
- Oversee processes and procedures for all UR activities, including written appeal letters for denials.
Requirements
- Master's degree required from an accredited college or university in social work, mental health related field or equivalent for licensure.
- A minimum of two (2) years' experience with communication with external review organizations in chart analysis and UR field required.
- Ability to work independently and set priorities.
- Valid FL license: RN, LSCW, LMHC, LMFT preferred.
Benefits
- Competitive Compensation
- Generous Paid Time Off
- Medical, Dental & Vision
- Prescription Drug Plans
- 401(k) Matching
- Discounted Stock Plan
- Student Loan Refinancing
- Tuition Savings
- Career Development
- Pet Insurance
Company overview
Universal Health Services, Inc. (UHS) is one of the nation's largest and most respected providers of hospital and healthcare services, operating as a Fortune 300 corporation headquartered in King of Prussia, Pennsylvania. Founded in 1979, UHS has grown into a major healthcare enterprise with approximately 99,000 employees and annual revenues exceeding $14 billion. The company operates through its subsidiaries, managing 29 acute care hospitals, 331 behavioral health facilities, and 60 outpatient and other facilities across 39 U.S. states, Washington D.C., Puerto Rico, and the United Kingdom. UHS provides comprehensive healthcare services including acute care, behavioral health treatment, cancer centers, and ambulatory surgical centers. The company's strategy focuses on building or acquiring high-quality hospitals in rapidly growing markets and investing in advanced medical equipment and skilled personnel to become the leading healthcare provider in each community it serves. UHS is publicly traded on the New York Stock Exchange (NYSE: UHS) and has established a strong reputation for delivering compassionate, high-quality care while maintaining financial stability and operational excellence.