UTILIZATION - CASE MANAGER (RN/LIC) FT

Universal Health Services, Inc.; Eagle Pass (TX); On-site; USD 80,000 - 100,000; Full time

Job summary

Universal Health Services, Inc. is seeking a Behavioral Health Utilization Management Case Management-Coordinator to support the UM process for BH services.

The role coordinates authorization activities, maintains payer and clinical documentation, and ensures timely reviews and proper level of care per payer requirements and regulations. The ideal candidate is a Registered Nurse with inpatient psychiatric experience or utilization management exposure; collaboration with clinical teams, payers,

Qualifications

• Bachelor's Degree in Nursing, Counseling, Psychology or Social Work.
• Acute inpatient psychiatric setting experience preferred.

Responsibilities

• Coordinate authorization activities for BH services.
• Maintain payer and clinical documentation with accuracy.
• Monitor authorization timelines to ensure timely reviews.
• Facilitate communication among clinical teams, payers and revenue cycle departments.
• Ensure services are provided at the appropriate level of care per payer requirements and regulatory standards.

Education

Bachelor's Degree: Nursing, Counseling, Psychology or Social Work

Job description

Responsibilities

The Behavioral Health Utilization Management Case Management-Coordinator supports the utilization management process for BH services provided. This position coordinates authorization activities, maintains accurate payer and clinical documentation, monitors authorization timelines, and facilitates communication among clinical teams, payers and revenue cycle departments. The UM coordinator helps ensure that services are reviewed timely, accurately documented, and provided at the appropriate level of care in accordance with payer requirements, regulatory standards and organizational policies.

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.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: or .

Qualifications

Education

Bachelor's Degree: Nursing, Counseling, Psychology or Social Work.

Acute inpatient psychiatric setting as a treatment team member and/or utilization mgmt experience preferred.

Licensure/Certification/Registration (List the required and / or preferred licenses, certifications, or registrations, if any)

Required

• Registered Nurse

Preferred

• Social Work, Marriage and Family, Mental Health Counseling (i.e. LPC, LMHC, LCSW, LCPC, LPCC)