Arbour SeniorCare
Responsibilities
Utilization Review Coordinator
reviews medical records of patients admitted for psychiatric/mental illness to ensure proper utilization of facility resources, conducts reviews of patient records to ensure proper case documentation and medical necessity of treatment in accordance with Federal, State, and County regulations; assesses continuing treatment plans and advocates for required patient treatment with medical providers. Serves as a financial liaison between the facility, patient/family and the payor by verifying and securing financial support/commitment for the admission.
MUST HAVE availability to attend an 8‑business‑day Orientation from 8a‑4p without interruptions.
Location & Facility Hill Crest Behavioral Health is an acute care, 194‑bed inpatient psychiatric facility located in Birmingham, AL, providing mental health services for adolescents and adults.
We do not treat medically compromised individuals beyond our scope of care.
We currently treat:
Acute Adults
Acute Adolescents
Forensic Adult Males
Residential Males and Females
Benefits
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
SoFi Student Loan Refinancing Program
Career development opportunities within UHS and its 300+ Subsidiaries!
More information is available on our Benefits Guest Website: benefits.uhsguest.com
Qualifications
Minimum of a Bachelor’s Degree in Counseling, Psychology, Social Services related field or Nursing (BSN or RN).
Strong organizational skills and excellent interpersonal and negotiation skills, including the ability to communicate clearly and professionally both verbally and in writing.
Prior experience in a psychiatric inpatient hospital or outpatient mental health setting, preferably in a residential or acute care environment.
Ability to communicate and negotiate with psychiatric patients, families, medical staff, ancillary staff and external agency case managers from a patient liaison position.
Computer proficiency, including word processing, spreadsheets and data collection/management programs.
Essential Job Duties / Responsibilities
15% – Coordinate with Social Services and Intake Center contacts with patient, family and referral source within twenty‑four hours following admission.
15% – Establish scheduled communication with Review Agency to certify treatment regime, patient’s need for continued treatment, and negotiate for future levels of care and extended length of stay if needed.
15% – Notify Business Office of any changes in benefit, rate negotiations needed, denials, etc. during patient’s stay.
15% – Coordinate information between members of the treatment team.
15% – Ensure all admissions are reported to review agencies within their required timeframe.
10% – Review each case as insurance dictates for re‑certification and continue the Utilization Management process as required.
10% – Demonstrate competence in medical knowledge and extensive knowledge of health insurance plans and managed care benefits.
5% – Perform other duties as assigned or required by this position.
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.
Recruitment & Scam Prevention At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) 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, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
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reviews medical records of patients admitted for psychiatric/mental illness to ensure proper utilization of facility resources, conducts reviews of patient records to ensure proper case documentation and medical necessity of treatment in accordance with Federal, State, and County regulations; assesses continuing treatment plans and advocates for required patient treatment with medical providers. Serves as a financial liaison between the facility, patient/family and the payor by verifying and securing financial support/commitment for the admission.
MUST HAVE availability to attend an 8‑business‑day Orientation from 8a‑4p without interruptions.
Location & Facility Hill Crest Behavioral Health is an acute care, 194‑bed inpatient psychiatric facility located in Birmingham, AL, providing mental health services for adolescents and adults.
We do not treat medically compromised individuals beyond our scope of care.
We currently treat:
Acute Adults
Acute Adolescents
Forensic Adult Males
Residential Males and Females
Benefits
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
SoFi Student Loan Refinancing Program
Career development opportunities within UHS and its 300+ Subsidiaries!
More information is available on our Benefits Guest Website: benefits.uhsguest.com
Qualifications
Minimum of a Bachelor’s Degree in Counseling, Psychology, Social Services related field or Nursing (BSN or RN).
Strong organizational skills and excellent interpersonal and negotiation skills, including the ability to communicate clearly and professionally both verbally and in writing.
Prior experience in a psychiatric inpatient hospital or outpatient mental health setting, preferably in a residential or acute care environment.
Ability to communicate and negotiate with psychiatric patients, families, medical staff, ancillary staff and external agency case managers from a patient liaison position.
Computer proficiency, including word processing, spreadsheets and data collection/management programs.
Essential Job Duties / Responsibilities
15% – Coordinate with Social Services and Intake Center contacts with patient, family and referral source within twenty‑four hours following admission.
15% – Establish scheduled communication with Review Agency to certify treatment regime, patient’s need for continued treatment, and negotiate for future levels of care and extended length of stay if needed.
15% – Notify Business Office of any changes in benefit, rate negotiations needed, denials, etc. during patient’s stay.
15% – Coordinate information between members of the treatment team.
15% – Ensure all admissions are reported to review agencies within their required timeframe.
10% – Review each case as insurance dictates for re‑certification and continue the Utilization Management process as required.
10% – Demonstrate competence in medical knowledge and extensive knowledge of health insurance plans and managed care benefits.
5% – Perform other duties as assigned or required by this position.
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.
Recruitment & Scam Prevention At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) 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, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
#J-18808-Ljbffr