PRN UTILIZATION REVIEW COORDINATOR

Riverpointbehavioral; Jacksonville (FL); On-site; USD 35,817 - 50,971; Full time

Benefits offered by this job

Challenging and rewarding work env.

Competitive Compensation

401(K) with company match

Career development within UHS

SoFi Student Loan Refinancing Program

Job summary

Universal Health Services (UHS) seeks a PRN Utilization Review Coordinator in Jacksonville, FL, including weekends, with a pay range of $26-$37 per hour. The role monitors treatment activities, interfaces with the treatment team and managed care organizations to ensure quality patient care, and collaborates with referring professionals for continuity of care.

Responsibilities include completing concurrent reviews for mental health and dual diagnosis patients in inpatient and outpatient settings,

Qualifications

• RN, LPN or Master’s level Social Worker with Utilization Management experience.
• Good communication skills (verbal and written).
• Able to monitor and evaluate records for quality and appropriateness of care.

Responsibilities

• Monitor treatment activities and interface with treatment team and managed care organizations to ensure quality patient care.
• Collaborate with referring professionals for continuity of care.
• Complete concurrent reviews for mental health and dual diagnosis patients (inpatient and outpatient).
• Complete appeals and follow-up until a final decision is determined.
• Communicate effectively with treatment team members, physicians and hospital staff.

Skills

Communication skills

Independent work

Team collaboration

Education

RN

LPN

MSW

Job description

Responsibilities

We are pleased to announce the following available position: PRN Utilization Review Coordinator, including weekends $26-$37. This position is responsible for monitoring the treatment activities offered to the patient, interfacing with the treatment team/managed care organizations to ensure quality patient care and collaborating with referring professionals for continuity of care. Complete concurrent reviews for mental health and dual diagnosis patients for both inpatient and outpatient services. Complete appeals and follow up on all appeals until a final decision is determined. Must have effective communication skills with treatment team members, physicians and co-workers throughout the hospital.

Qualifications

Registered Nurse, LPN or Master’s level Social Worker with experience in Utilization Management, preferred. Good communication (verbal and written) skills are essential. Able to work independently and collegially with all clinical disciplines. Has knowledge of regulatory and reimbursement requirements. Able to monitor and evaluate records for quality and appropriateness of care. Has basic computer skills.

• Challenging and rewarding work environment
• Competitive Compensation
• 401(K) with company match and discounted stock plan
• Career development opportunities within UHS and its 300+ Subsidiaries!
• SoFi Student Loan Refinancing Program

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.