UR COORDINATOR

Horsham Clinic; Ambler (Montgomery County); On-site; USD 55,000 - 75,000; Full time

Job summary

The Horsham Clinic in Ambler, PA seeks a dynamic Utilization Review Coordinator to join a 206-bed behavioral health facility serving Southeast Pennsylvania and New Jersey.

The UR Coordinator evaluates medical records to determine severity of illness and appropriate level of care, functioning as a liaison with patients, families, and insurance providers to advocate for timely services and reimbursement. Experience coordinating across departments is preferred.

Qualifications

• Masters level MSW required.
• RN license in the state of Pennsylvania required.
• Licensure in LSW/LSCW required.
• 3+ years of experience in behavioral health setting.
• Strong written and verbal communication skills.
• Proficiency with common computer applications and databases.

Responsibilities

• Evaluate medical records to determine severity of illness and appropriate level of care.
• Serve as a liaison for patients, families, and insurance companies.
• Negotiate and advocate for length of stay and level of care.
• Oversee UR activities with other departments to ensure reimbursement.

Skills

Written communication

Verbal communication

Leadership

Computer skills

Education

MSW

RN License (PA)

LSW/LSCW Licensure

Job description

Responsibilities

The Horsham Clinic is seeking a dynamic and talented

Utilization Review Coordinator

The Horsham Clinic is a 206 bed private behavioral healthcare facility located on a beautiful 55-acre suburban campus. We are minutes from Philadelphia and we serve Southeast Pennsylvania and New Jersey. The Horsham Clinic provides comprehensive behavioral health services to children, adolescents, adults, and their families. Programs and services are located on the main campus in Ambler, Pennsylvania, as well as satellite day hospital programs in Pennsylvania, Delaware County, and Chester County. We offer competitive rates, excellent benefits (after 30 days), 401(k) tuition reimbursement& PTO. If you are interested in becoming part of a well-respected industry leader.

Responsibilities

The Horsham Clinic is seeking a dynamic and talented Utilization Review CoordinatorThe Horsham Clinic is a 206 bed private behavioral healthcare facility located on a beautiful 55-acre suburban campus. We are minutes from Philadelphia and we serve Southeast Pennsylvania and New Jersey. The Horsham Clinic provides comprehensive behavioral health services to children, adolescents, adults, and their families. Programs and services are located on the main campus in Ambler, Pennsylvania, as well as satellite day hospital programs in Pennsylvania, Delaware County, and Chester County. We offer competitive rates, excellent benefits (after 30 days), 401(k) tuition reimbursement& PTO. If you are interested in becoming part of a well-respected industry leader. The UR Coordinator is responsible for evaluating medical records to determine severity of patient's illness and determining the appropriate level of care. UR Specialist will serve as a liaison for patients and hospital with insurance companies. UR Specialist will negotiate and advocate for the patients length of stay and level of care. Oversees UR activities with other departments to ensure reimbursement for the services provided by the hospital. One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.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.

Qualifications

• Exposure to psychiatric patients who may exhibit violent/ aggressive behavior. General hospital environment.
• Must be willing to work with kids and adolescents.
• Masters Level Education/ MSW
• RN License in the state of Pennsylvania
• Licensure in LSW/ LSCW
• Demonstrates working knowledge of behavioral mental health, nursing clinical practices, and management
• Experience in interviewing patients and families in order to obtain clinical information and acute symptoms
• Highly Developed written and verbal communication skills
• 3 or more years of experience in behavioral health setting
• Ability to plan, direct, and monitor others activities with demonstrated leadership abilities that contribute to a positive work environment.
• Proficiency with common computer based applications such as electronic mail, word processing and various databases