UR COORDINATOR

Palm Point Behavioral Health; Titusville (FL); On-site; USD 54,000 - 79,000; Part time

Benefits offered by this job

Competitive compensation

Medical, dental, vision plans

401(k) with company match

Educational assistance

Career development

Pet insurance

Job summary

Palm Point Behavioral Health in Titusville, FL is seeking a Part Time Utilization Review Coordinator to monitor documentation and utilization of inpatient and outpatient services. The role involves coordinating authorizations with third-party payors, ensuring timely precertifications and discharge planning, and supporting high-quality patient care.

The UR Coordinator attends treatment team meetings, communicates treatment data to insurers, and assists with appeals and retrospective reviews to

Qualifications

• Associate degree in nursing or bachelor’s in social work/mental health or related field required.
• Minimum two years in health care case management or utilization review.
• Current, valid state license (RN, LCSW, LMHC, or LMFT) preferred.

Responsibilities

• Review medical records and participate in treatment team meetings with staff to secure precertifications and authorizations.
• Input pre-certifications and continued stay reviews into Midas; verify insurance coverage monthly and post payments in MS4.
• Assist in gathering clinical criteria and communicating with external entities for appeals and retrospective reviews.

Skills

Healthcare coordination

Education

Associate Degree in Nursing

Bachelor's Degree in social work/mental health

Tools

Midas

MS4

Job description

Responsibilities

Palm Point Behavioral Health (affiliated with Universal Health Services) is a 74-bed behavioral health hospital is located in Titusville, Florida minutes from Cape Canaveral. Palm Point Behavioral Health treats adults, children and adolescents that suffer from a wide range of behavioral health diagnoses including, depression, anxiety and substance abuse in a modern and well-appointed facility. Palm Point behavioral health offers inpatient treatment options and serve communities in Brevard County and beyond. Titusville, located on Florida’s Space Coast, is approximately 30-miles north of historic Cocoa Beach, and 40-miles east of Orlando’s famous theme parks. In Titusville, you can tour the Kennedy Space Center Visitor Complex, Merritt Island National Wildlife Refuge and Canaveral National Seashore. Not only do you have the abundance of activities along the Atlantic shore, but Titusville also offers an ideal climate, close proximity to multiple dining and shopping options, and a very friendly community.

Website: https://palmpointbehavioral.com

Palm Point is currently recruiting for a Part Time Utilization Review (UR) Coordinator. The Utilization Review Coordinator monitors and coordinates appropriate documentation and utilization of services throughout the course of treatment for patients admitted to the inpatient and outpatient program and coordinates authorization for third party payors. The UR Coordinator also review cases for appropriateness of admission, continued stay, and discharge planning. They assist in promotion and maintenance of high-quality patient care through review and evaluation of clinical practices. The UR coordination will attend treatment team and provide communication based on documentation and verbal exchange regarding treatment. The UR coordinator will communicate with external entities to facilitate acquisition of resources. The Utilization Review coordinator is responsible for monitoring and completing appeals and retrospective reviews for patients. Ensures appeals are sent out timely and assists the Utilization Review manager with other duties assigned.

Job Duties/ Responsibilities

• Review clinical content of medical records, participate in treatment team meetings, and collaborate with physicians, therapist, nurses and pertinent staff on gathering the necessary data to communicate with insurance companies/authorizing entities to ensure initial precertification and continued authorization is achieved.
• Ensure input of pre-certifications and continued stay reviews into Midas, follow-up on unfinished pre-certifications from the day before, coordinate with the treatment team on any follow-ups necessary, verify insurance coverage at the first of the month, and post patient payments into MS4.
• Trained in all aspects relative to timely gathering of clinical criteria, communication of clinical criteria, and entry of supporting clinical criteria into computer based systems, in addition to other job duties.

Benefits & Rewards Highlights

• Challenging and rewarding work environment
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match and discounted stock plan
• SoFi Student Loan Refinancing Program
• Tuition savings to continue your nursing education with Chamberlain University
• Career development opportunities within UHS and its 300+ Subsidiaries!
• Pet Insurance
• More information is available on our Benefits Guest Website: benefits.uhsguest.com

About Universal Health Services

Headquartered in King of Prussia, PA, Universal Health Services, Inc. (NYSE: UHS) is one of the nation’s largest and most respected providers of hospital and healthcare services. Since our founding in 1979, UHS has grown steadily into a premier Fortune 500® corporation perennially recognized by multiple esteemed national rating entities. Through its subsidiaries, UHS operates inpatient acute care facilities, inpatient behavioral health facilities, outpatient and other facilities, nationwide virtual behavioral health services, an insurance offering, a physician network and various related services with physical locations in the U.S., Puerto Rico, Ireland and United Kingdom. www.uhs.com.

Qualifications

• Education: Associate Degree in Nursing or Bachelor's Degree in social work, mental health or related field from accredited college or university required.
• Experience: A minimum of two (2) years’ experience in health care case management or utilization review, psychiatric or mental health setting required.
• Certification: Current, Valid State License (RN, LCSW, LMHC, or LMFT) Preferred.

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.