PRN UTILIZATION REVIEW COORDINATOR

Universal Health Services; Jacksonville (FL); On-site; USD 30,000 - 50,000; Part time

Benefits offered by this job

Challenging work environment

401(K) with company match

Career development opportunities

Student loan refinancing program

Job summary

Universal Health Services seeks a part-time Utilization Review Coordinator to join their team in Jacksonville, Florida. This role involves monitoring treatment activities for both inpatient and outpatient mental health services, ensuring quality patient care.

The ideal candidate will be a Registered Nurse, LPN, or Master’s level Social Worker with relevant experience. Competitive compensation, a 401(K) plan with employer match, and various career development opportunities are offered.

Qualifications

• Preferred experience in Utilization Management.
• Ability to collaborate with clinical disciplines.
• Experience in monitoring and evaluating care quality.

Responsibilities

• Monitor treatment activities offered to patients.
• Complete concurrent reviews for mental health patients.
• Maintain communication with treatment team members.

Skills

Verbal communication

Written communication

Ability to work independently

Knowledge of regulatory requirements

Basic computer skills

Education

Registered Nurse

Licensed Practical Nurse (LPN)

Master’s level Social Worker

Job description

Responsibilities

We are seeking a part-time Utilization Review Coordinator (PT), including weekends. The position is responsible for monitoring the treatment activities offered to the patient, interfacing with the treatment team and managed care organizations to ensure quality patient care, and collaborating with referring professionals for continuity of care. Responsibilities include completing concurrent reviews for mental health and dual diagnosis patients for both inpatient and outpatient services, completing appeals and following up on all appeals until a final decision, and maintaining effective communication 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 is preferred. Strong verbal and written communication skills are essential. Ability to work independently and collegially with all clinical disciplines. Knowledge of regulatory and reimbursement requirements. Ability to monitor and evaluate records for quality and appropriateness of care. 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
• Student loan refinancing program option

Benefits and About the Employer

Universal Health Services, Inc., one of the nation’s largest providers of hospital and healthcare services, operates across the United States. Website: www.uhs.com

River Point Behavioral Health, a subsidiary of UHS, is an adolescent and adult facility located in Jacksonville, Florida, offering a continuum of mental health and addiction services. Website: www.riverpointbehavioral.com

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect and equal employment opportunities. UHS subsidiaries are equal opportunity employers and do not discriminate based on race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, or protected veteran status in accordance with applicable laws.

We believe that diversity and inclusion among our teammates is critical to our success.

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