Utilization Management Coordinator

Universal Health Services; Winston-Salem (NC); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Career growth

Diversity programs

Online learning

Competitive pay

Benefits package

401(k) with match

Student loan refinancing

Tuition assistance

Job summary

Universal Health Services seeks an Utilization Management Coordinator to evaluate patient records and determine level of care within a behavioral health setting. You will act as a liaison to insurance companies and advocate for appropriate lengths of stay.

The role requires a master’s degree in counseling, social work, or related field, plus licensure (LCSW/LCMHC/LMFT) and 5 years in behavioral health; utilization management experience is preferred.

Qualifications

• Master's degree in counseling, social work, or related field.
• Five years experience in behavioral health.
• Licensed professional (LCSW, LCMHC, or LMFT).
• Experience in utilization management within behavioral health strongly preferred.

Responsibilities

• Evaluates patient medical records to determine severity of illness and appropriateness of level of care.
• Serves as liaison for patients and hospital with insurance companies.
• Negotiates and advocates for patient length of stay and level of care.
• Participates in the patient discharge process through Treatment Team meeting attendance.

Education

Master's degree in counseling, social work, or related field

Job description

Responsibilities

At Old Vineyard Behavioral Health Services, we are helping to create brighter, healthier futures for our patients and their families. We are the Piedmont Triad's only private psychiatric hospital meeting the chemical dependency illnesses and behavioral healthcare needs of those in our community.

Our 164-bed inpatient services for adolescents through senior adulthood offers comprehensive and individual assessments, psychiatric evaluation and medication stabilization, daily group therapy and personalized aftercare planning. We also offer a Partial Hospitalization and Intensive Outpatient Treatment Program to ensure the continuum of care for our patients. Old Vineyard is accredited by The Joint Commission and certified by the Centers for Medicare and Medicaid Services. We are passionate about our work and are looking for individuals who share in this passion.

Position Summary

The Utilization Management Coordinator possesses knowledge of psychiatric clinical diagnosis and the ability to articulate those indicators professionally. Evaluates patient medical records to determine severity of patient's illness and determining the appropriateness of level of care. Serves as liaison for patients and hospital with insurance companies. Negotiates and advocates for patient length of stay and level of care. Has a working knowledge of all levels of care offered and appropriately manages patient benefits. Participates in the patient discharge process through Treatment Team meeting attendance.

Qualifications

To perform this job successfully, an individual must be able to demonstrate competency in the criteria listed in this job description. The specifications listed below are representative of the knowledge, skill and ability to meet the minimum requirements for this position. Staff must demonstrate flexibility for reassignment to units providing care to varied populations including male and female adolescents and adults, as well as dually diagnosed adults.

Education:

Master's degree in counseling, social work, or related field.

Experience:

Five yearsexperience in behavioral health field required. One year experience in utilization management within behavioral health setting strongly preferred.

Licensure/Certification:

Licensed professional (LCSW, LCMHC, or LMFT).

Benefit Highlights:

• Career development opportunities across UHS and its 300+ locations!
• Diverse programming to expand your experience and energize your career
• HealthStream online learning catalogue
• 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 Assistance (after 1-year of employment)
• More information is available on our Benefits Guest Website:https://www.benefits.uhsguest.com

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.

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.