UR COORDINATOR

UHS Physician Careers; Ambler (Montgomery County); Presencial; USD 70.000 - 95.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Competitive benefits after 30 days

401(k)

Tuition reimbursement

Paid time off

Descripción de la vacante

The Horsham Clinic in Ambler, PA is seeking an Utilization Review Coordinator to evaluate medical records and determine the appropriate level of care for patients. You will liaise with insurance providers and coordinate with hospital departments to optimize reimbursement and patient care.

Ideal candidates have a Master’s in Social Work or RN/LSW licensure, strong interviewing and communication skills, and at least three years in behavioral health.

Formación

• Master's degree in social work or related clinical field.
• RN license in Pennsylvania is required.
• LSW/LSCW licensure preferred or required.

Responsabilidades

• Evaluate medical records to determine severity and level of care.
• Serve as liaison for patients and hospital with insurance companies.
• Negotiate and advocate for patient length of stay and level of care.
• Oversee utilization review activities to ensure reimbursement.

Conocimientos

Interviewing patients

Communication

Leadership

Behavioral health knowledge

Educación

Master's Degree in Social Work (MSW)

RN license (PA)

LSW/LSCW licensure

Descripción del empleo

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 southeastern 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.

Responsibilities

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.

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

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.

Pay Transparency

To encourage pay transparency, promote pay equity, and proactively address regulations, UHS and all our subsidiaries will comply with all applicable state or local laws or regulations which require employers to provide wage or salary range information to job applicants and employees. Salary offers may be based on key factors such as education and related experience.

Location

• AMBLER, Pennsylvania
• Behavioral Health
• Day
• 379220
• The Horsham Clinic