Universal Hospital Services Inc.
UR Coordinator - Full Time
Universal Hospital Services Inc., Titusville, Florida, United States, 32780
Responsibilities
Why join the Palm Point team?
We empower and inspire patients and employees. We are an environment that puts patient care first. One of the most rewarding aspects of working at Palm Point is providing excellent care, comfort, and security to the patients and families you treat, at their most vulnerable times. Supportive and responsive leadership. You are never alone, as you are part of a large network of peers and leaders that routinely exchange ideas and review current topics within the industry. Having the opportunity to grow, learn, and advance in your career.
Who We Are:
Palm Point Behavioral Health (affiliated with Universal Health Services) is a 74-bed behavioral health hospital located in Titusville, Florida minutes from Cape Canaveral. Palm Point Behavioral Health treats adults, children and adolescents that suffer from a wide range of behavioral health diagnoses including depression, anxiety and substance abuse in a modern and well‑appointed facility. Palm Point behavioral health offers inpatient treatment options and serves communities in Brevard County and beyond. Titusville is approximately 30‑miles north of historic Cocoa Beach and 40‑miles east of Orlando’s theme parks. It offers abundant activities along the Atlantic shore, fine dining and shopping options, and a friendly community.
Position Summary The Utilization Review Coordinator facilitates a continuum of service while promoting positive outcomes and optimal reimbursement, through coordination of patient care, daily clinical reviews, quality documentation, appeals, and reporting.
Performs timely, daily clinical reviews with all payer types (Managed Medicare, Managed Medicaid and commercial) to secure authorization for continued treatment (by fax, telephone or online) based on payer’s criteria.
Functions as a key member of the multidisciplinary treatment team to educate and guide on level of care requirements and payer expectations for patient acuity and appropriate utilization.
Completes quality and timely appeal/denial letters. Participates in post‑claim recovery review and ongoing audit activity, supporting compliance with CMS and other regulators.
Works collectively with hospital operations (social services, business office, intake, nursing) to ensure timely documentation is aligned with patient conditions.
Contributes to monthly utilization data trends using hospital data tools to report for the overall operation.
Facilitates physician reviews with payers as required.
Qualifications
Bachelor’s degree in Counseling, Psychology, Social Work or Human Services field or a valid Florida licensed RN.
1‑3 years of experience in a behavioral health setting.
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.
Pay Transparency To encourage pay transparency, promote pay equity, and proactively address regulations, UHS and all its subsidiaries will comply with all applicable state or local laws or regulations which require employers to provide wage or salary range information to job applicants and employees. Salary offers may be based on key factors such as education and related experience.
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We empower and inspire patients and employees. We are an environment that puts patient care first. One of the most rewarding aspects of working at Palm Point is providing excellent care, comfort, and security to the patients and families you treat, at their most vulnerable times. Supportive and responsive leadership. You are never alone, as you are part of a large network of peers and leaders that routinely exchange ideas and review current topics within the industry. Having the opportunity to grow, learn, and advance in your career.
Who We Are:
Palm Point Behavioral Health (affiliated with Universal Health Services) is a 74-bed behavioral health hospital located in Titusville, Florida minutes from Cape Canaveral. Palm Point Behavioral Health treats adults, children and adolescents that suffer from a wide range of behavioral health diagnoses including depression, anxiety and substance abuse in a modern and well‑appointed facility. Palm Point behavioral health offers inpatient treatment options and serves communities in Brevard County and beyond. Titusville is approximately 30‑miles north of historic Cocoa Beach and 40‑miles east of Orlando’s theme parks. It offers abundant activities along the Atlantic shore, fine dining and shopping options, and a friendly community.
Position Summary The Utilization Review Coordinator facilitates a continuum of service while promoting positive outcomes and optimal reimbursement, through coordination of patient care, daily clinical reviews, quality documentation, appeals, and reporting.
Performs timely, daily clinical reviews with all payer types (Managed Medicare, Managed Medicaid and commercial) to secure authorization for continued treatment (by fax, telephone or online) based on payer’s criteria.
Functions as a key member of the multidisciplinary treatment team to educate and guide on level of care requirements and payer expectations for patient acuity and appropriate utilization.
Completes quality and timely appeal/denial letters. Participates in post‑claim recovery review and ongoing audit activity, supporting compliance with CMS and other regulators.
Works collectively with hospital operations (social services, business office, intake, nursing) to ensure timely documentation is aligned with patient conditions.
Contributes to monthly utilization data trends using hospital data tools to report for the overall operation.
Facilitates physician reviews with payers as required.
Qualifications
Bachelor’s degree in Counseling, Psychology, Social Work or Human Services field or a valid Florida licensed RN.
1‑3 years of experience in a behavioral health setting.
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.
Pay Transparency To encourage pay transparency, promote pay equity, and proactively address regulations, UHS and all its subsidiaries will comply with all applicable state or local laws or regulations which require employers to provide wage or salary range information to job applicants and employees. Salary offers may be based on key factors such as education and related experience.
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