Utilization Review Coordinator

Universal Health Services Arlington , TX 76004

Posted 1 week ago

Responsibilities

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.

Steadily growing since its inception to an esteemed Fortune 500 corporation, UHS today has annual revenues of $10 billion and 83,000 employees. In 2019, UHS was recognized for the ninth consecutive year as one of the World's Most Admired Companies by Fortune; and in 2018, ranked #268 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: 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 83,000 employees and through its subsidiaries operates more than 320 acute care hospitals, behavioral health facilities and ambulatory centers in the United States, Puerto Rico, the U.S. Virgin Islands and the United Kingdom.

Millwood Hospital

Millwood Hospital is a 134-bed mental health facility that provides inpatient and outpatient mental health and chemical dependency treatment. Millwood's caring, and multidisciplinary staff has successfully provided inpatient and outpatient mental health and chemical dependency care to children, adolescents, adults, and senior adults since 1971.

Millwood Hospital is located in Arlington, TX in the heart of the city. It is 5 minutes away from AT&T Stadium home of the Dallas Cowboys. The hospital is less than 35 minutes from DFW International Airport. Millwood Hospital is a Joint Commission accredited hospital with a solid reputation in the community.

To learn more visit: https://millwoodhospital.com/

Millwood Hospital is currently seeking a dynamic UR Coordinator to join our team!

The UR Coordinator is responsible for managing the treatment activities offered to the patient, including the appropriate clinical screening of admissions, establishment of treatment plans, interface with the treatment team/external case managers/managed care organizations and implementation and supervision of the discharge planning.

Qualifications

Education: Bachelor's degree from an accredited college or university in social work, mental health or a Nursing degree is preferred.

Experience: A minimum of two (2) years direct clinical experience in a psychiatric or mental health setting. Experience in patient assessment, family motivation, treatment planning and communication with external review organizations or comparable entities.

Licensure: L.V.N., R.N., L.M.S.W. or LPC.

Additional Requirements:
Complete knowledge of crisis intervention techniques

This opportunity provides 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

  • Generous Paid Time Off

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best-in-class candidate experience.

During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.

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.



icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Clinical Review Utilization Manager Registered Nurse RN Part Time Arlington

Texas Health Resources

Posted 3 months ago

VIEW JOBS 8/4/2020 12:00:00 AM 2020-11-02T00:00 Texas Health Resources is seeking to hire a Clinical Review Utilization Manager Registered Nurse for our Clinical Review Department. Employees will have the opportunity to work from home after completion of training. Must live in the North Texas, DFW area. Orientation will be held at the Chase Building - 500 East Border Street, Arlington, Texas 76010. Salary range is $35.48/hour - Max $49.18/hour - based on relevant experience. Work Schedule * Part Time - Monday-Friday 3:00pm-11:30pm with rotating weekends. The Clinical Review Utilization Manager is responsible for determining initial admission status and level of care recommendations for inpatient admissions, observation and outpatient admissions for any hospital in the THR system. The essential job functions for this position are: * Conduct initial admission review of inpatient, observation and outpatient admissions (commercial insurance, Medicare Advantage and self-pay) according to established criteria set adopted by System. Conduct initial admission review of inpatient, observation and outpatient admissions with traditional Medicare for compliance with the New IPPS rule. * Provide clinical information to payors as needed for completion of pre-certification process. * Ensure proper authorization requirements are met with each admission. Obtains or ensures acquisition of appropriate precertification's/ authorizations from third party payers and placement to appropriate level of care prior to hospitalization or upon admission utilizing medical necessity criteria and third party payer guidelines. * Obtains, or facilitates, acquisition of urgent/emergent authorizations, continued stay authorizations, as needed and with compliance with all regulatory and contractual requirements. * Maintains a working knowledge of care management, utilization review changes, authorization changes, contract changes, regulatory requirements, etc. * Adheres to the policies, procedures, rules, regulations, and laws of the hospital and federal and state regulatory bodies. * Communicates and collaborates with the CBO and medical records to render appropriate information needed to secure reimbursement. * Provide consultation to medical and nursing staff, health information management, and payors on potential issues with reimbursement of hospitalization. * Evaluate concurrent potential denials or payment issues and initiate communication with admitting physician to assure proper documentation for selected admission status. * Collaborates and communicates with payor via phone, fax or computer system per payor contract. * Initiates and facilitates physician communications relative to the UR process when indicated. Assists and facilitates the physician peer-to-peer review process with insurance medical directors as indicated. * Communicates payer issues and medical necessity concerns with members of the health care team. * Escalate incorrect status concerns to UM manager. * Determines working DRG with each initial review via Canopy, or other Care Management tool. Discusses working DRG issues as needed with Care Transition Manager. * Performs other duties as assigned. Qualifications The ideal candidate will possess the following qualifications: * Associate's Degree in Nursing required. * Bachelor's Degree in Nursing preferred. * 5 years inpatient clinical nursing experience in an acute hospital setting required And * 1 year Utilization Management required. * Experience in case management, and/or the application of medical necessity criteria preferred * Milliman Care Guidelines preferred * Registered Nurse License to practice professional nursing in the state Texas required. * Specialty certification preferred. Skills * Requires interpersonal, analytic, and critical thinking skills for problem solving and decision making. * Broad and intimate knowledge of reimbursement and regulatory requirements. * Decisive judgment and the ability to work with minimal supervision. * Must be able to work in a fast-paced environment requiring adaptability, flexibility, and independence while demonstrating high professional standard, leadership, and team membership skills. * Must be well organized and have the ability to prioritize and handle multiple tasks efficiently and independently. * Have demonstrated ability to initiate and follow through with multiple projects. * Proficient computer skills with experience in: MS Office, internet navigation, clinically-based software, and financially-based software. Why Texas Health Resources? Texas Health Resources is one of the largest faith-based, nonprofit health care delivery systems in the United States and the largest in North Texas in terms of patients served. Texas Health has 25 acute-care and short-stay hospitals that are owned, operated, joint-ventured or affiliated with the system. It has more than 3,800 licensed beds, more than 21,100 employees of fully-owned/operated facilities plus 1,400 employees of consolidated joint ventures, and counts more than 5,500 physicians with active staff privileges at its hospitals. At Texas Health, we strive to create an atmosphere of respect, integrity, compassion and excellence for all who come in contact with us, be they patients or our employees. We are committed to diversity in our workforce, and our mission to serve spreads across ethnic, cultural, economic and generational boundaries. We invite you to join us in furthering your career and our accomplishments and philosophy of excellence. Texas Health Highlights * 2019 FORTUNE Magazine's "100 Best Companies to Work For®" (5th year in a row) * 2019 Becker's Healthcare "150 Great Places to Work in Healthcare" (5th year in a row) * 2019 Employees' Choice "Best Places to Work" by Glassdoor Texas Health Resources Arlington TX

Utilization Review Coordinator

Universal Health Services