Full-time - UR Coordinator

Universal Health Services, Inc.; Memphis (TN); On-site; USD 55,000 - 75,000; Full time

Job summary

Lakeside Behavioral Health System seeks a UM Coordinator to review psychiatric cases, determine appropriate levels of care, and liaise with insurers to secure appropriate reimbursement. The role supports physician staffing and coordinates with outpatient offices for billing.

The UM Coordinator will handle utilization review activities, apply knowledge of psychiatric care, and manage patient benefits across services across our 37-acre Memphis campus.

Qualifications

• Masters prepared healthcare professional (Nursing, Counseling, Psychology or SocialWork) or RN required.
• 3-5 years direct psychiatric patient care experience.
• Valid TN RN license, LCSW, or LPC preferred.
• Knowledge of psychiatric care, utilization review, insurance reimbursement procedures, DSM-V; advanced computer skills; strong analytical, organizational, verbal and written skills.

Responsibilities

• Evaluate patient medical records to determine severity of illness and level of care.
• Serve as liaison for patients and hospital with insurance companies.
• Negotiate and advocate for patient length of stay and level of care.
• Oversee utilization review activities with other departments to ensure reimbursement for services.
• Facilitate physician weekly staffing meetings and coordinate with outpatient offices for billing.
• Manage patient benefits.

Skills

Analytical skills

Organizational skills

Verbal communication

Written communication

Advanced computer skills

Education

Masters prepared healthcare professional or RN

Job description

Responsibilities

Lakeside Behavioral Health System provides an excellent opportunity for those seeking to be part of a team-oriented and compassionate organization. Our staff tell us that our team is their number one reason for working at Lakeside and we offer competitive compensation, excellent comprehensive benefits, opportunities for advancement, tuition assistance, and paid time off.

Since 1969, Lakeside has been the premier provider of specialized behavioral health and addictive disease services in the Memphis and Mid-South region. The 365-bed facility is one of the largest free‑standing psychiatric hospital s in the United States. We are located on a serene 37-acre campus in northeast Shelby County, serving as the setting for the treatment for children, adolescents, young adults, adults and seniors. Lakeside’s comprehensive programs treat disorders such as bipolar disorder, psychological trauma, depression and anxiety, mental illness and addictive disease disorders such as alcoholism, drug addiction and substance abuse.

Job Description

The UM Coordinator possesses knowledge of psychiatric clinical diagnosis and the ability to articulate those indicators professionally. The UM Coordinator evaluates patient medical records to determine severity of patient’s illness and determining the appropriateness of level of care. Serves as liaison for patients and hospital with insurance companies. Negotiates and advocates for patient length of stay and level of care. Oversees utilization review activities with other departments to ensure reimbursement for services provided by the hospital. The UM Coordinator facilitates physician weekly staffing meetings and coordinates with physician’s outpatient offices for the purposes of billing. The UM Coordinator has a working knowledge of all levels of care offered and appropriately manages patient benefits.

Qualifications

Job Requirements

• Education: Masters prepared healthcare professional (Nursing, Counseling, Psychology or SocialWork) required or Registered Nurse.
• Experience: A minimum of 3-5 years direct psychiatric patient care experience.
• Licensure/Certification: Valid TN RN license, LCSW, or LPC preferred.
• Knowledge: Must possess knowledge of psychiatric care, utilization review, insurance reimbursement procedures, DSM-V, etc. Advanced computer skills necessary. Strong analytical, organizational, verbal and written skills required.

Universal Health Services (UHS)

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $14.3 billion in 2023. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 96,700 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physicians’ network and various related services located all over the 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 s 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.