Clive Behavioral
Overview
Rolling Hills Hospital is seeking a dedicated and detail-oriented
Utilization Management Manager
to join our dynamic UM team. In this role, you will be responsible for ensuring the appropriate utilization of services for patients in both our inpatient and outpatient programs. Responsibilities
Coordinating and Monitoring:
Oversee the utilization of services throughout the treatment process, ensuring that patients receive the appropriate level of care. Authorization Management:
Coordinate with third-party payers to secure necessary authorizations for patient services. Case Review:
Evaluate the appropriateness of admissions, continued stays, and discharge plans to ensure optimal patient care. Quality Assurance:
Promote and maintain high-quality patient care by analyzing, reviewing, and evaluating clinical practices within the hospital. Communication:
Maintain effective communication systems through thorough documentation and verbal exchanges regarding patient treatment. Collaboration:
Work with internal and external entities to ensure a seamless continuum of services and optimize reimbursement for the hospital. Qualifications
Proven experience in utilization management or a related field. Strong analytical and problem-solving skills. Excellent communication and interpersonal abilities. Ability to work collaboratively in a team environment. Knowledge of third-party payer systems and authorization processes. Benefit Highlights
Challenging and rewarding work environment Competitive Compensation & Generous Paid Time Off Excellent Medical, Dental, Vision and Prescription Drug Plans 401(K) with company match and discounted stock plan Career development opportunities within UHS and its 300+ Subsidiaries More information is available on our Benefits Guest Website: benefits.uhsguest.com About Universal Health Services
One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. Education/Training
Master’s Degree in Behavioral Health Field (e.g. Counseling, Social Work, Psychology) required RN or LPN license in the state of TN considered Licensure/Certification
Current Tennessee Driver’s License Current CPR Certification Current HWC Certification Experience
Experience in psychiatric setting as counselor or nurse preferred; reading, writing, and mathematical skills at the master’s degree level; skills in application of DSM methodology; excellent telephone etiquette and tact; audible speech, with good enunciation; ability to interact effectively with persons of widely diverse roles, backgrounds, cultures, and socio-economic classes; effective oral and written communication skills; skills in analyzing and evaluating information; ability to concentrate on tasks and meet deadlines; basic data entry skills preferred; organizational, time management, problem solving, crisis management skills necessary; flexibility, creativity, and the ability to manage stress are necessary. 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. Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, report concerns to appropriate law enforcement and verify opportunities on legitimate UHS career websites.
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Rolling Hills Hospital is seeking a dedicated and detail-oriented
Utilization Management Manager
to join our dynamic UM team. In this role, you will be responsible for ensuring the appropriate utilization of services for patients in both our inpatient and outpatient programs. Responsibilities
Coordinating and Monitoring:
Oversee the utilization of services throughout the treatment process, ensuring that patients receive the appropriate level of care. Authorization Management:
Coordinate with third-party payers to secure necessary authorizations for patient services. Case Review:
Evaluate the appropriateness of admissions, continued stays, and discharge plans to ensure optimal patient care. Quality Assurance:
Promote and maintain high-quality patient care by analyzing, reviewing, and evaluating clinical practices within the hospital. Communication:
Maintain effective communication systems through thorough documentation and verbal exchanges regarding patient treatment. Collaboration:
Work with internal and external entities to ensure a seamless continuum of services and optimize reimbursement for the hospital. Qualifications
Proven experience in utilization management or a related field. Strong analytical and problem-solving skills. Excellent communication and interpersonal abilities. Ability to work collaboratively in a team environment. Knowledge of third-party payer systems and authorization processes. Benefit Highlights
Challenging and rewarding work environment Competitive Compensation & Generous Paid Time Off Excellent Medical, Dental, Vision and Prescription Drug Plans 401(K) with company match and discounted stock plan Career development opportunities within UHS and its 300+ Subsidiaries More information is available on our Benefits Guest Website: benefits.uhsguest.com About Universal Health Services
One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. Education/Training
Master’s Degree in Behavioral Health Field (e.g. Counseling, Social Work, Psychology) required RN or LPN license in the state of TN considered Licensure/Certification
Current Tennessee Driver’s License Current CPR Certification Current HWC Certification Experience
Experience in psychiatric setting as counselor or nurse preferred; reading, writing, and mathematical skills at the master’s degree level; skills in application of DSM methodology; excellent telephone etiquette and tact; audible speech, with good enunciation; ability to interact effectively with persons of widely diverse roles, backgrounds, cultures, and socio-economic classes; effective oral and written communication skills; skills in analyzing and evaluating information; ability to concentrate on tasks and meet deadlines; basic data entry skills preferred; organizational, time management, problem solving, crisis management skills necessary; flexibility, creativity, and the ability to manage stress are necessary. 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. Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, report concerns to appropriate law enforcement and verify opportunities on legitimate UHS career websites.
#J-18808-Ljbffr