Case Manager - West TN

Universal Health Services Waverly , IA 50677

Posted 3 months ago

One of the nation's largest and most respected hospital management companies, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, UHS today has annual revenues of $10.7 billion. In 2019, UHS was again recognized as one of the World's Most Admired Companies by Fortune, ranked #293 on the Fortune 500; and in 2017, listed #275 in Forbes' inaugural ranking of America's Top 500 Public Companies.

Our operating philosophy is as effective today as it was 40 years ago, enabling us to provide compassionate care to our patients and their loved ones: Build or acquire high quality hospitals in rapidly growing markets, invest in the people and equipment needed to allow each facility to thrive, and become the leading healthcare provider in each community we serve.

Headquartered in King of Prussia, PA, UHS has more than 87,000 employees and through its subsidiaries operates more than 350+ inpatient acute care hospitals and behavioral health facilities, and 32 outpatient and other facilities in the United States, Puerto Rico, and the United Kingdom.

Natchez Trace Youth Academy is located in the beautiful central hills of Tennessee, between two magnificent rivers, NTYA is a highly - structured 115-bed cognitive behavioral program serving adolescent males ages 12-17 years old. We help our residents to refocus their thinking patterns in order to improve their actions/ behavior. Our diverse team works together to facilitate the changes that become an investment in the future of each young man's life and his family's life. Check us out on the web at www.natcheztraceyouthacademy.com to learn more about us!

Job Requirements

Natchez Trace Youth Academy is seeking a dynamic and talented Case Manager for the West Tennessee area to join our team of compassionate, dedicated professionals. Under the direction of the Case Manager Supervisor, this position is responsible for counseling residents and their families prior to and following discharge from the residential treatment facility through in-home counseling, crisis management, and liaison support to enable clients to be successful in their home/foster home or subcontracted settings.

Education and /or Experience: Bachelor's degree (B.A./B.S.) from an accredited college or university is required. Master's Degree strongly preferred; and one to two years related experience and/or training; or equivalent combination of education and experience.

Certificates, Licenses, Registration: Valid state driver's license with appropriate endorsement and automobile insurance with verification of medical liability.

This opportunity provides the following:

  • Meaningful work, saving patients' lives

  • Healthy, respectful and team-based work environment

  • Growth and development opportunities within UHS and its subsidiaries

  • Competitive Compensation

  • Generous Paid Time Off

  • Student Loan Refinancing Program

  • Excellent Medical, Dental, Vision and Prescription Drug Plan

  • 401k plan with company match

  • Employee referral bonus program

  • Relocation benefits (if applicable)

  • Bonus opportunity (if applicable)

UHS is a registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a wholly-owned subsidiary of Universal Health Services, Inc. Universal Health Services, Inc. is a holding company and operates through its subsidiaries including its management company, UHS of Delaware, Inc. All healthcare and management operations are conducted by subsidiaries of Universal Health Services, Inc. To the extent any reference to "UHS or UHS facilities" on this website including any statements, articles or other publications contained herein relates to our healthcare or management operations it is referring to Universal Health Services' subsidiaries including UHS of Delaware. Further, the terms "we," "us," "our" or "the company" in such context similarly refer to the operations of Universal Health Services' subsidiaries including UHS of Delaware. Any employment referenced in this website is not with Universal Health Services, Inc. but solely with one of its subsidiaries including but not limited to UHS of Delaware, Inc. UHS is not accepting unsolicited assistance from search firms for this employment opportunity.

Please, no phone calls or emails. All resumes submitted by search firms to any employee at UHS via- email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means.


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Risk Identification and Evaluation * Ensures appropriate and timely reporting of occurrences by maintaining a Healthcare Peer Reporting system (Occurrence notification system); enters incidents into the Medik Database. * Collects and screens all reports. * Analyzes and trends data. * Identifies actual and potential risk situations and facilitates the determination of causative factors. * Refers occurrences for follow up to appropriate department or medical committee; ensures that all Level III/IV are referred to the Peer Review Committee. * Receives immediate and concurrent reporting of adverse patient outcomes identified by the PI process. * Performs risk surveys and inspects patient care areas in concert with hospital's safety (EOC) program committee objectives. * Reviews reports on facility and equipment to assess loss potential. * Receives and investigates reports of product problem to determine appropriate response and establish record keeping responsibilities. In the event of patient injury, established direction from Corporate Risk Management in the appropriate action or strategy. * Receives information (verbally or formally on the HPR) from facility staff regarding patient events which may lead to legal involvement. 2. Risk Reduction * Networks with department managers to implement system changes aimed at optimally reducing or eliminating causative factors. * Interfaces with Performance Improvement Director specific to provision of patient care, and assessment of quality data. * Networks with medical staff to ensure active involvement and participation in: Risk identification, risk analysis, and risk reduction/loss prevention problem solving and program development designed to benefit the clinical aspects of patient care and safety. * Networks with medical staff to ensure the credentialing and privilege delineating process requires information regarding professional liability experience, results of peer review activities, changes in medical staff memberships, clinical privileges, licensure, etc. * Interfaces with the Patient Advocate specific to patient complaints and assesses/recommends action, on those, which may be a source of potential litigation. * In conjunction with facility administration recommends actions when possible to resolve with patient and/or family any grievances against facility. * Refers policies that present particular risk in relation to previously identified problems to Corporate Risk Management. * Identifies particular practices having legal connotations to target planning of preventive and corrective measures. * Assesses liability and probability of legal action. * Is available to resolve treatment issues, including patient refusal of treatment, consent issues, HIPPA violations, AMA's, etc. under direct supervision of Administrator, Corporate Legal Council, and Corporate Risk Management. 3. Contract Preparation * Assists Administration in preparing contracts for approval. * With assistance from Corporate Risk Management provides advice on contract language necessary to fulfill insurance and Risk Management requirements. * Evaluates each contract negotiated by the hospital with assistance from Corporate Risk Management when needed to ensure that insurance and liability losses are adequately addressed and that risk is transferred to other party responsible. 4. Claims Management * Assists Administrator in facilitating the processing of summons and complaints served on the facility and its employees. * Reports receipt of summons and complaints immediately to Corporate Risk Management and Insurance Department. * Assists the Corporate Risk Management as needed to intervene, document and assist in the investigation of all claims. * Coordinates investigation of claims within the facility: Directs in house claims investigation; Preserves all pertinent information (medical record, x-rays, equipment, lab/pathology specimens, relevant reports/policies and procedures); Facilitates early reporting; Establishes early control of situation; Assists in obtaining materials for attorneys; Maintains all legal case files and ensures maximum protection and discoverability. * Coordinates with and assists attorneys as they interface with the facility and employees. 5. Loss Control and Prevention * Serves as the primary point of contact for and ensures workplace injuries are reported to Corporate Loss Control Manager and Sedgewick, Facility CEO, CFO and Leadership Team. * Loss Control - Manages the level of safety risk within a workplace. 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Privacy Officer * Responds to alleged patient health information privacy and HIPAA breaches by evaluating and recommending investigations as appropriate. * Tracks privacy breaches for reporting and review in Patient Safety Committee and Committee of the Whole. * Files annual report with U.S. Department of Health and Human Services as needed. * Ensures on-board and annual Privacy Training of all employees. 7. PREA Coordinator (Prison Rape Elimination Act of 2003) * Acts as the primary site contact for the Tennessee DCS Department of PREA and Child Protective Services. * Ensures on-board and annual PREA Training of all employees. * Ensures Admissions Department documents 100% of all new patient admissions have required PREA Acknowledgement. * Ensures Clinical Department documents 100% required initial and ongoing PREA Assessments. * Addresses, documents and resolves gaps in PREA compliance on an ongoing basis. * Reports and tracks all PREA allegations and facilitates interactions with Tennessee DCS PREA Special Investigators. * Schedules, prepares for and facilitate triennial PREA Certification Survey Inspection. 8. CARF * Assists the Director of Clinical Services with preparation and facilitation of triennial CARF survey. * Assists with composing and completing the CARF Corrective Action Plan. 9. Annual Licensure Survey * Acts as the primary site contact for the Tennessee Department of Mental Health and Substance Abuse Services. * Leads efforts to prepare for annual survey (schedule Fire Inspection, records, patient and staff interviews, postings) * Facilitates survey * Composes and completes the Licensure Survey Plan of Correction 10. Regulatory Surveys and Visits * Leads efforts to prepare for regulatory surveys and visits. * Facilitates surveys and visits. * Composes and completes Corrective Action Plans as needed for surveys and visits. 11. International Admissions / Business Development * Assists with pre-admission preparation (KidLink, SEVIS, logistics) for patients from outside of the U.S. * Travels to meet with referral sources, patient care team and patients outside of the U.S. * Escorts patients to NTYA. * Acts as the primary site contact for quality issues for referral sources, patient care team and patients during treatment. * Assists with family visits, passes, discharge planning and logistics at discharge. 12. Employee/Physician Education * Facilitates, develops, and provides training to insure all employees and medical staff are aware of the Risk Management concept and its relation to their specific duties/job role in identifying and reducing liability exposures. * Plans and presents risk management information to all new employees at hospital orientation. * Plans and presents Risk Management information to all employees at annual update. * Plans, presents, facilitates, and/or recommends in-services to all departments as necessary to address Risk Management problems. * Plans, facilitates, presents information and suggests topics on Risk Management to Committees or facility departments as necessary and based upon occurrences or claim patterns. 13. 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This opportunity offers the following: * Challenging and rewarding work environment * Growth and development opportunities within UHS and its subsidiaries * Competitive compensation * Excellent medical, dental, vision and prescription drug plan * 401k plan with company match Universal Health Services Waverly IA

Case Manager - West TN

Universal Health Services