UR Coordinator
UHS
Summary
Palm Point Behavioral Health is currently recruiting for a Part Time Utilization Review (UR) Coordinator. The Utilization Review Coordinator monitors and coordinates appropriate documentation and utilization of services throughout the course of treatment for patients admitted to the inpatient and outpatient program and coordinates authorization for third party payors.
Job description
Job Duties/Responsibilities
- Review clinical content of medical records, participate in treatment team meetings, and collaborate with physicians, therapist, nurses and pertinent staff on gathering the necessary data to communicate with insurance companies/authorizing entities to ensure initial precertification and continued authorization is achieved.
- Ensure input of pre-certifications and continued stay reviews into Midas, follow-up on unfinished pre-certifications from the day before, coordinate with the treatment team on any follow-ups necessary, verify insurance coverage at the first of the month, and post patient payments into MS4.
- Trained in all aspects relative to timely gathering of clinical criteria, communication of clinical criteria, and entry of supporting clinical criteria into computer based systems, in addition to other job duties.
Requirements
- Associate Degree in Nursing or Bachelor's Degree in social work, mental health or related field from accredited college or university required.
- A minimum of two (2) years' experience in health care case management or utilization review, psychiatric or mental health setting required.
- Current, Valid State License (RN, LCSW, LMHC, or LMFT) Preferred.
Benefits
- Competitive Compensation
- Paid Time Off
- Medical Insurance
- Dental Insurance
- Vision Insurance
- Prescription Drug Plans
- 401(k) with company match
- Discounted stock plan
- SoFi Student Loan Refinancing Program
- Tuition savings
- Career development opportunities
- 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.