Utilization Management Coordinator
UHS
Summary
Dover Behavioral Health System is a 104-bed, acute care psychiatric hospital located in the Dover, Delaware area. Dover Behavioral Health System features individual units for adolescents and adults and offers inpatient acute care, partial hospitalization, and intensive outpatient programs.
Job description
Dover Behavioral Health system is seeking qualified candidates for our Utilization Management Coordinator - Full-Time position. In this role, you will proactively monitor utilization of continuum services and optimize reimbursement.
Responsibilities will include:
- Conduct admission reviews in collaboration with Assessment and Referral Services to ensure up-to-date admissions information.
- Perform concurrent and extended stay reviews at appropriate intervals.
- Prepare and submit appeals to third-party payors, collecting necessary data for hospital and patient support.
- Ensure timely communication of discharge information to insurance companies within 24 hours, and maintain updated logs and records for the Utilization Review department.
Requirements
- MSW or MS in a recognized mental health field or a Registered Nursing License
- One (1) year experience in case management and/or hospital experience
- One (1) year experience as a Utilization Management Coordinator at a long-term care facility
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.