Universal Health Services
Utilization Management Coordinator
Universal Health Services, Jeffersonville, Indiana, us, 47144
Responsibilities
Wellstone Regional Hospital is a 100-bed acute care facility located in Jeffersonville, Indiana and has been providing quality health care to the residents of Southern Indiana and the Louisville area since 2003. Wellstone specializes in the treatment of Adolescents, Children, Adults, and the CD population. In addition to our in‑patient services, we offer out‑patient programs as well. Wellstone currently has an opening for a full‑time UM Coordinator in the UM Department.
The Utilization Review Coordinator is responsible for executing the UR function, which includes the implementation of case management scenarios, consulting with all services to ensure the provision of an effective treatment plan for all patients. Oversees the response to requests for services and interfaces with managed care organizations, external reviewers, and other payers. Assures that good customer service practices are utilized. Maintains denials and appeals logs and reviews the progress of all appeals activity. Over‑see compliance of Medicare audits and assure guidelines are being followed.
Qualifications QUALIFICATIONS
Education: Bachelor Degree in Mental Health/Behavioral Sciences, Master's preferred, or RN in the state of Indiana.
Experience: A minimum of three (3) years direct clinical experience in a psychiatric or mental health treatment setting. Experience in patient assessment, family motivation, treatment planning and communication with external review organizations or comparable entities.
Licensure: None required unless RN.
Additional Requirements: May be required to work overtime and flexible hours when needed.
Hours of Work: 7:30am-4:00pm and other times as indicated by immediate supervisor.
Benefits
UHS is Challenging and rewarding work environment
Growth and development opportunities within UHS and its 400+ subsidiaries
Competitive Compensation
401k plan with company match
Generous Paid Time Off
Service Excellence atmosphere!
Tuition Reimbursement potential
Student Loan Repayment for certain degrees!!!
FREE MEALS!
Universal Health Services, Inc. (UHS) is one of the nation’s largest and most respected providers of hospital and healthcare services, with annual revenues of over $11 billion in 2020 and a portfolio of more than 89,000 employees. UHS operates acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and related services across the United States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhsinc.com.
If any questions about this position, please contact HR Director, Tiffany Pierce, (812) 258‑1012, Tiffany.smith2@uhsinc.com. WWW.Wellstonehospital.com.
EEO Statement At UHS and all subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates with matching skillset and experience with the best possible career 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 feel suspicious of a job posting or job‑related email, let us know by contacting us at: https://uhs.alertline.com or 1‑800‑852‑3449.
Notice We believe that diversity and inclusion among our teammates is critical to our success.
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.
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The Utilization Review Coordinator is responsible for executing the UR function, which includes the implementation of case management scenarios, consulting with all services to ensure the provision of an effective treatment plan for all patients. Oversees the response to requests for services and interfaces with managed care organizations, external reviewers, and other payers. Assures that good customer service practices are utilized. Maintains denials and appeals logs and reviews the progress of all appeals activity. Over‑see compliance of Medicare audits and assure guidelines are being followed.
Qualifications QUALIFICATIONS
Education: Bachelor Degree in Mental Health/Behavioral Sciences, Master's preferred, or RN in the state of Indiana.
Experience: A minimum of three (3) years direct clinical experience in a psychiatric or mental health treatment setting. Experience in patient assessment, family motivation, treatment planning and communication with external review organizations or comparable entities.
Licensure: None required unless RN.
Additional Requirements: May be required to work overtime and flexible hours when needed.
Hours of Work: 7:30am-4:00pm and other times as indicated by immediate supervisor.
Benefits
UHS is Challenging and rewarding work environment
Growth and development opportunities within UHS and its 400+ subsidiaries
Competitive Compensation
401k plan with company match
Generous Paid Time Off
Service Excellence atmosphere!
Tuition Reimbursement potential
Student Loan Repayment for certain degrees!!!
FREE MEALS!
Universal Health Services, Inc. (UHS) is one of the nation’s largest and most respected providers of hospital and healthcare services, with annual revenues of over $11 billion in 2020 and a portfolio of more than 89,000 employees. UHS operates acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and related services across the United States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhsinc.com.
If any questions about this position, please contact HR Director, Tiffany Pierce, (812) 258‑1012, Tiffany.smith2@uhsinc.com. WWW.Wellstonehospital.com.
EEO Statement At UHS and all subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates with matching skillset and experience with the best possible career 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 feel suspicious of a job posting or job‑related email, let us know by contacting us at: https://uhs.alertline.com or 1‑800‑852‑3449.
Notice We believe that diversity and inclusion among our teammates is critical to our success.
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.
#J-18808-Ljbffr