Arbour SeniorCare
About Palm Point Behavioral Health
Palm Point Behavioral Health, affiliated with Universal Health Services, is a 74‑bed behavioral health hospital located in Titusville, Florida, minutes from Cape Canaveral. We treat adults, children, and adolescents with a broad range of behavioral health diagnoses, including depression, anxiety, and substance abuse. Our modern, well‑appointed facility serves the Brevard County community and beyond. Titusville offers a friendly neighborhood, numerous recreational opportunities, and proximity to attractions such as the Kennedy Space Center Visitor Complex and Merritt Island National Wildlife Refuge.
Why Join Us We empower and inspire patients and employees. Our culture puts patient care first. You will provide excellent care, comfort, and security to patients and families during vulnerable times, supported by responsive leadership and a large network of peers. The role offers opportunity to grow, learn, and advance your career.
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.
Responsibilities
Perform timely daily clinical reviews with all payer types (Managed Medicare, Managed Medicaid, and commercial) to secure authorization for continued treatment via fax, telephone, or online based on payer criteria.
Act as a key member of the multidisciplinary treatment team, educating and guiding on level of care requirements and payer expectations for patient acuity and appropriate utilization.
Complete quality and timely appeal/denial letters and participate in post‑claim recovery reviews and ongoing audit activity, supporting compliance with CMS and other regulators.
Collaborate with hospital operations (social services, business office, intake, nursing) to ensure timely documentation aligned with patient conditions.
Contribute to monthly utilization data trends using hospital data tools to report for overall operation.
Facilitate 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.
#J-18808-Ljbffr
Why Join Us We empower and inspire patients and employees. Our culture puts patient care first. You will provide excellent care, comfort, and security to patients and families during vulnerable times, supported by responsive leadership and a large network of peers. The role offers opportunity to grow, learn, and advance your career.
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.
Responsibilities
Perform timely daily clinical reviews with all payer types (Managed Medicare, Managed Medicaid, and commercial) to secure authorization for continued treatment via fax, telephone, or online based on payer criteria.
Act as a key member of the multidisciplinary treatment team, educating and guiding on level of care requirements and payer expectations for patient acuity and appropriate utilization.
Complete quality and timely appeal/denial letters and participate in post‑claim recovery reviews and ongoing audit activity, supporting compliance with CMS and other regulators.
Collaborate with hospital operations (social services, business office, intake, nursing) to ensure timely documentation aligned with patient conditions.
Contribute to monthly utilization data trends using hospital data tools to report for overall operation.
Facilitate 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.
#J-18808-Ljbffr