PT UTILIZATION REVIEW COORDINATOR

River Point Behavioral; Jacksonville (FL); Hybrid; USD 36,000 - 51,000; Part time

Benefits offered by this job

Challenging environment

Competitive compensation

401(K) with company match

Discounted stock plan

Career development within UHS

SoFi student loan refinancing

Job summary

River Point Behavioral Health in Jacksonville, FL is seeking a PT Utilization Review Coordinator (including weekends) to monitor treatment activities and coordinate with the treatment team and managed care organizations to ensure quality patient care.

The role involves completing concurrent reviews for mental health and dual diagnosis patients, handling appeals, and following up until a final decision, with opportunities for professional growth within UHS.

Qualifications

• Must have strong verbal and written communication with clinical staff.
• Experience with Utilization Management and coordination with referrals.
• Knowledge of regulatory and reimbursement requirements.
• Ability to monitor and evaluate care records for quality.

Responsibilities

• Monitor treatment activities and ensure quality patient care.
• Interface with treatment teams and managed care organizations.
• Complete concurrent reviews for MH and dual diagnosis (inpatient/outpatient).
• Process appeals and follow up until final decision.
• Maintain effective communication with physicians and staff.

Skills

Communication skills

Independent work

Regulatory knowledge

Quality monitoring

Computer skills

Education

Registered Nurse (RN)

Licensed Practical Nurse (LPN)

Master’s in Social Work (MSW)

Job description

Responsibilities

We are pleased to announce the following available position: PT 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, physician’s 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.

We offer:

• 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

Universal Health Services, Inc., one of the nation’s largest and most respected providers of hospital and healthcare services, has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, our annual revenues were $15.8 billion in 2024. UHS was again recognized as one of the World’s Most Admired Companies by Fortune; in 2019, ranked #293 on the Fortune 500; and in 2017, listed #275 in Forbes inaugural ranking of America’s Top 500 Public Companies by Fortune. Headquartered in King of Prussia, PA, UHS has more than 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral facilities, outpatient facilities and ambulatory care access points, and insurance offering, a physician network and various related services located all over the United States, Washington, DC, Puerto Ricco and the United Kingdom. www.uhs.com

River Point Behavioral Health, a subsidiary of UHS, is a beautiful, 80-bed adolescent and adult Baker Act receiving facility, which is located in sunny Jacksonville, Florida. Our professional staff provide high quality, individualized care to uniquely fit the intensity and severity of each patient’s needs and offer a continuum of mental health and addiction services in a confidential, caring environment that promote crisis resolution, positive self- awareness, personal growth and problem-solving. River Point is open 24 hours a day, seven days a week. www.riverpointbehavioral.com

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.

Care Provider Background Screening Clearinghouse Education and Awareness website:

https://info.flclearinghouse.com