UR Coordinator
UHS
Summary
Utilization Reviewer. Work schedule is day shift, Monday through Friday, 8am - 4:30pm.
Job description
Responsibilities
Utilization Reviewer. Work schedule is day shift, Monday through Friday, 8am - 4:30pm.
The Utilization Reviewer possesses the knowledge of psychiatric clinical diagnosis and the ability to articulate those indicators professionally. The Utilization Reviewer evaluates patient medical records to determine severity of patient's illness and the appropriateness of level of care, serves as liaison for patients and hospital with insurance companies, and negotiates and advocates for patient length of stay and level of care. The Utilization Reviewer has a working knowledge of all levels of care offered and appropriately manages patient benefits.
Qualifications
Education: High School Graduate or Equivalent. Bachelor's degree in psychology, sociology, social work, human service or related field preferred.
Experience: Two years' utilization reviewer experience preferred.
Physical requirements: Sedentary Work – Exerting up to 10 pounds of force occasionally or a negligible amount of force frequently to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Job may be defined as sedentary when walking and standing are required occasionally and all other sedentary criteria are met. Grasping; Speaking; Hearing; Computer use; Visual acuity (color, depth perception, field of vision); Sitting
Requirements
- High School Graduate or Equivalent
- Bachelor's degree in psychology, sociology, social work, human service or related field preferred
- Two years' utilization reviewer experience preferred
- Knowledge of psychiatric clinical diagnosis
- Ability to evaluate patient medical records
- Ability to determine severity of illness and appropriateness of level of care
- Ability to serve as liaison between patients, hospital, and insurance companies
- Ability to negotiate and advocate for patient length of stay and level of care
- Working knowledge of all levels of care offered
- Ability to manage patient benefits
Benefits
- Medical, Dental & Vision
- Prescription Drug Plan
- Paid Time Off
- 401(k) Matching
- Discounted Stock Plan
- Tuition Assistance
- Career Development
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.