Admissions Director

Universal Hospital Services Inc.; Dover (DE); On-site; USD 120,000 - 180,000; Full time

Benefits offered by this job

Tuition Assistance

Loan Forgiveness

CEU opportunities

Career development across UHS

Health benefits

401(k) with company match

SoFi student loan refinancing

Job summary

Dover Behavioral Health System in Dover, Delaware, seeks a Director of Assessments and Referrals to lead the Assessment and Referral Services department, coordinating with medical staff, treatment teams and managed care organizations to optimize admissions and utilization reviews.

You will supervise day-to-day operations, conduct reviews, prepare third-party appeals, and ensure timely discharge communications, with emphasis on compliance, data accuracy, and collaboration to improve patient care

Qualifications

• Minimum MA, MS, MSW in a related field or RN.
• Two (2) years’ experience in behavioral health.
• Two (2) years' management experience.

Responsibilities

• Conduct admission reviews with ARS to stay apprised of admissions.
• Conduct concurrent and extended stay reviews on appropriate days.
• Prepare and submit appeals to third party payors with data to support the hospital and patient’s position.
• Call/fax discharge information to insurance companies within 24 hours of discharge.
• Maintain and update logs of reviews and other UR records.
• Communicate third party payor issues to doctor and treatment team.
• Attend daily treatment team meetings to discuss acuity and payer needs.
• Gather information for reviews from patient records and treatment team.
• Explain insurance information to team members, including benefits and levels of care.
• Perform internal utilization reviews as indicated.
• Identify and report abuse or neglect to appropriate authorities.

Skills

Behavioral health experience

Management experience

Education

MA, MS, MSW or RN

Job description

Responsibilities

Dover Behavioral Health System is a 104-bed, acute care psychiatric hospital located in the beautiful Dover, Delaware area. Dover Behavioral Health System features individual units for adolescents and adults and offers inpatient acute care, partial hospitalization, and intensive outpatient programs. On average, over 10,000 patients receive care from our compassionate health care team each year at Dover Behavioral Health System. This opportunity offers working at a hospital known for its outstanding patient satisfaction, including ranking 6th for highest patient satisfaction in 2020 compared to over 200+ psychiatric hospitals. We attribute this success to our talented and dedicated staff. We are the best at what we do!

Dover Behavioral Health system is seeking qualified candidates for our Director, Assessments and Referrals. In this role, you will direct and manage the day-to-day operations of the Assessment and Referral Services department. This position interfaces closely with the medical staff, fellow department heads and administration, treatment team/external case managers/managed care organizations, and functions as a liaison with other hospital intake departments.

Responsibilities will include:

• Conduct admission reviews working with Assessment and Referral Services to stay abreast of admissions.
• Conduct concurrent and extended stay reviews on appropriate day and/or specified time.
• Prepare and submit appeals to third party payors, effectively coordinating collection of all pertinent data to support the hospital and patient’s position.
• Call/fax discharge information to insurance companies within 24 hours of discharge to ensure the facility is paid for the hospital stay.
• Maintain and update logs of review and maintain other appropriate records of the Utilization Review department.
• Communicate pertinent third party payors issues to doctor and treatment team.
• Attend daily treatment team meetings to discuss acuity issues, third party payors needs and gather information for reviews.
• Work independently in gathering information for reviews from the patient record, taking the initiative to seek information from members of the treatment team.
• Understand and communicate insurance information to team members, including benefits and levels of care offered.
• Perform internal utilization reviews as indicated.
• Identify, document, and report any and all instances of adult or child abuse and neglect to the appropriate parties including a member of management, the police, and state agencies

Qualifications

Minimum:

• MA, MS, MSW in a related field or RN
• two (2) years’ experience in behavioral health
• two (2) years' management experience

Benefits:

• Tuition Assistance
• Loan Forgiveness
• Orientation (Could earn 20 CEUs) * Career development opportunities across UHS and its 300+ locations
• Diverse programming to expand your experience and energize your career HealthStream online learning catalogue with plenty of free CEU courses
• 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

About our parent company Universal Health Services (UHS):

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, our annual revenues were $10.77 billion in 2018. In 2020, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; in 2019, ranked #293 on the Fortune 500; and in 2017, listed #275 in Forbes inaugural ranking of America’s Top 500 Public Companies. Headquartered in King of Prussia, PA, UHS has more than 87,000 employees and through its subsidiaries operates 26 acute care hospitals, 327 behavioral health facilities, 40 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 37 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.

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.