Full-time - UR Coordinator

Behavioral Health System, Inc.; Memphis, Northern (TN, KY); Hybrid; USD 65,000 - 80,000; Full time

Job summary

Lakeside Behavioral Health System in Memphis, TN seeks an UM Coordinator who can assess psychiatric diagnoses, determine appropriate level of care, and advocate for patient length of stay and benefits. You’ll work with hospital teams and insurers to optimize reimbursement while coordinating physician staffing and outpatient billing processes.

Ideal candidates have 3–5 years of psychiatric care experience, a relevant Masters or RN license, and strong analytical and communication skills to

Qualifications

• Masters prepared healthcare professional (Nursing, Counseling, Psychology or SocialWork) or RN.
• 3–5 years direct psychiatric patient care experience.
• TN RN license, LCSW, or LPC preferred.
• Knowledge of psychiatric care, utilization review and insurance reimbursement.

Responsibilities

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

Skills

Analytical skills

Organizational skills

Verbal communication

Written communication

Advanced computer skills

Education

Masters prepared healthcare professional

Tools

None

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, adult 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.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.