PRN UTILIZATION REVIEW COORDINATOR

Universal Hospital Services Inc.; Jacksonville (FL); On-site; USD 35,817 - 50,971; Part time

Benefits offered by this job

Challenging work environment

Competitive compensation

401K with company match

Career development within UHS

SoFi student loan refinancing

Benefits guest site

Job summary

Universal Health Services, Inc. seeks a PRN Utilization Review Coordinator in Jacksonville, with weekend coverage. The role monitors treatment activities, interfaces with the treatment team and managed care, and manages concurrent reviews and appeals.

Qualified candidates include RNs, LPNs, or MSWs with utilization management experience and strong communication skills. Regulatory knowledge and computer literacy are valued in a fast-paced hospital setting.

Qualifications

• Registered Nurse, LPN or Master’s level Social Worker with Utilization Management experience.
• Excellent verbal and written communication skills.
• Ability to work independently with clinical teams.

Responsibilities

• Monitor treatment activities and interface with treatment team and managed care organizations.
• Complete concurrent reviews for mental health and dual diagnosis patients (inpatient & outpatient).
• Process appeals and follow up to final decision.
• Communicate effectively with physicians, teams and coworkers.

Skills

Utilization management

Regulatory knowledge

Independent worker

Effective communicator

Education

RN license

LPN license

MSW degree

Job description

Responsibilities

We are pleased to announce the following available position: PRN Utilization Review Coordinator, including weekends. Salary range $26-$37.

This 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. 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.

Benefits

• 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
• More information is available on our Benefits Guest Website: benefits.uhsguest.com

About

Universal Health Services, Inc. (UHS) is a large provider of hospital and healthcare services with operations across the United States. River Point Behavioral Health is a subsidiary of UHS located in Jacksonville, Florida, offering 24/7 mental health and addiction services.

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 support recruitment, selection, placement, promotion and compensation 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.