Full-time - UR Coordinator

Universal Hospital Services Inc.; Memphis (TN); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Tuition assistance

Paid time off

Health benefits

401k match

Student loan refinancing

Pet insurance

Job summary

Lakeside Behavioral Health System is seeking an UM Coordinator to evaluate patient records, determine level of care, and coordinate with insurers. The role requires clinical knowledge of psychiatric conditions and utilization review processes.

The position reports to the Utilization Management department and involves coordination with physicians and hospital staff to optimize patient care and reimbursement outcomes.

Qualifications

• Master's degree in healthcare field (Nursing, Counseling, Psychology or Social Work)
• Registered Nurse (RN) licensure preferred
• 3–5 years direct psychiatric patient care experience
• Knowledge of psychiatric care, utilization review, and DSM‑V; strong insurance reimbursement understanding
• Advanced computer skills; strong analytical, organizational, verbal and written skills

Responsibilities

• Evaluate patient medical records to determine illness severity and appropriate level of care.
• Serve as liaison for patients and insurance companies; negotiate and advocate for LOS and level of care.
• Oversee utilization review activities to ensure reimbursement for services.
• Facilitate physician weekly staffing meetings and coordinate billing with outpatient offices.

Skills

Psychiatric care

Utilization review

Analytical skills

Verbal communication

Written communication

Insurance reimbursement

DSM-V

Advanced computer skills

Education

Master's degree in healthcare field

Registered Nurse (RN)

Tools

EHR systems

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.

This opportunity provides the following:

• Challenging and rewarding work environment
• Career development opportunities within UHS and its 300+ subsidiaries
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401k with company match and discounted stock plan
• SoFi Student Loan Refinancing Program
• Tuition savings to continue your nursing education with Chamberlain University
• Pet Insurance
• More information is available on our Benefits Guest Website: benefits.uhsguest.com.

About Universal Health Services (UHS)

Headquartered in King of Prussia, PA, Universal Health Services, Inc. (NYSE: UHS) is one of the nation’s largest and most respected providers of hospital and healthcare services. Since our founding in 1979, UHS has grown steadily into a premier Fortune 500® corporation perennially recognized by multiple esteemed national rating entities. Through its subsidiaries, UHS operates inpatient acute care facilities, inpatient behavioral health facilities, outpatient and other facilities, nationwide virtual behavioral health services, an insurance offering, a physician network and various related services with physical locations in the U.S., Puerto Rico, Ireland and United Kingdom. www.uhs.com.

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.

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.