UM Supervisor, Behavioral Health Utilization

Universal Health Services, Inc.; Orlando (FL); On-site; USD 75,000 - 99,000; Full time

Benefits offered by this job

Competitive pay

Excellent health plans

401(k) with match

Student loan refinancing

Education tuition support

Career development

Pet Insurance

Job summary

Central Florida Behavioral Hospital, part of Universal Health Services, Inc., seeks a UM Supervisor to oversee the Utilization Management Department under the Director of Utilization Management.

You will ensure clinician chart reviews meet continued authorization, uphold medical necessity standards, and supervise UR processes, including denials appeals, within a private psychiatric center in Orlando, FL.

Qualifications

• Master's degree required in social work, mental health field or equivalent for licensure.
• Minimum of two years' experience communicating with external review organizations in chart analysis and UR.
• Ability to work independently and set priorities.
• Valid Florida license: RN, LCSW, LMHC, LMFT preferred.

Responsibilities

• Oversee UR activities and ensure protocol adherence for clinician chart reviews.
• Ensure staff knowledge of medical necessity, regulatory standards (Joint Commission, CMS/Medicare, EMTALA, HIPAA).
• Oversee processes and procedures for UR activities, including written appeal letters for denials.

Skills

Communication with external review org

Independent work

Prioritization

Education

Master's degree in social work or related field

Job description

Central Florida Behavioral Hospital, part of Universal Health Services, Inc., seeks a UM Supervisor to oversee the Utilization Management Department under the Director of Utilization Management.

You will ensure clinician chart reviews meet continued authorization, uphold medical necessity standards, and supervise UR processes, including denials appeals, within a private psychiatric center in Orlando, FL.