UTILIZATION MANAGEMENT COORDINATOR

Universal Health Services; Tennessee; On-site; USD 50,000 - 80,000; Full time

Job summary

An established industry player is seeking a dedicated Utilization Management Coordinator to enhance patient care through effective service utilization. In this pivotal role, you'll oversee service coordination, manage authorizations, and ensure quality assurance within both inpatient and outpatient programs. Your strong analytical and communication skills will be vital in collaborating with various stakeholders to optimize patient outcomes. Join a compassionate team committed to delivering high-quality behavioral healthcare in a supportive environment. This is an exciting opportunity to make a meaningful impact in the lives of those in need.

Qualifications

• Proven experience in utilization management or a related field.
• Strong analytical and problem-solving skills are essential.

Responsibilities

• Oversee the utilization of services throughout the treatment process.
• Coordinate with third-party payers to secure necessary authorizations.

Skills

Utilization Management

Analytical Skills

Communication Skills

Problem-Solving Skills

Interpersonal Skills

Education

RN/LPN License

Master's Degree in Behavioral Health

Job description

Responsibilities

At Rolling Hills, our mission is to offer compassionate, safe, effective behavioral healthcare treatment. We use solution-focused strategies and diligently strive for a safe and positive environment for patients, families, and employees. We never forget that we provide care and comfort to people in need.

Rolling Hills Hospital is seeking a dedicated and detail-oriented Utilization Management Coordinator to join our dynamic UM team. In this role, you will be responsible for ensuring the appropriate utilization of services for patients in both our inpatient and outpatient programs. Your key responsibilities will include:

• Coordinating and Monitoring:Oversee the utilization of services throughout the treatment process, ensuring that patients receive the appropriate level of care.
• Authorization Management:Coordinate with third-party payers to secure necessary authorizations for patient services.
• Case Review:Evaluate the appropriateness of admissions, continued stays, and discharge plans to ensure optimal patient care.
• Quality Assurance:Promote and maintain high-quality patient care by analyzing, reviewing, and evaluating clinical practices within the hospital.
• Communication:Maintain effective communication systems through thorough documentation and verbal exchanges regarding patient treatment.
• Collaboration:Work with internal and external entities to ensure a seamless continuum of services and optimize reimbursement for the hospital.

Qualifications:

• Proven experience in utilization management or a related field.
• Strong analytical and problem-solving skills.
• Excellent communication and interpersonal abilities.
• Ability to work collaboratively in a team environment.
• Knowledge of third-party payer systems and authorization processes.

About Universal Health Services

One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.

Qualifications

Education/Training:

* Must possess a current RN/LPN License or Master's Degree in Behavioral Health Field (e.g. Counseling, Social Work, Psychology)

Licensure/Certification:

* Current Tennessee Driver's License

* Current CPR Certification

* Current HWC Certification

Experience:

Experience in psychiatric setting as counselor or nurse preferred; reading, writing, and mathematical skills at the master's degree level; skills in application of DSM methodology; excellent telephone etiquette and tact; audible speech, with good enunciation; ability to interact effectively with persons of widely diverse roles, backgrounds, cultures, and socio-economic classes; effective oral and written communication skills; skills in analyzing and evaluating information; ability to concentrate on tasks and meet deadlines; basic data entry skills preferred; organizational, time management, problem solving, crisis management skills necessary; flexibility, creativity, and the ability to manage stress are necessary.

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.

Avoid and Report Recruitment Scams

We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.