UTILIZATION REVIEW COORDINATOR

Clive Behavioral; Fayetteville (AR); On-site; USD 52,000 - 76,000; Full time

Job summary

Universal Health Services in Fayetteville, AR seeks a PRN Utilization Review Coordinator to oversee clinical, financial, and utilization aspects of care. The role requires reviewing medical records, coordinating across the continuum, and ensuring adherence to quality standards within a behavioral health setting.

Responsibilities include implementing UM processes, supporting program development, and advancing performance improvement while reflecting the organization’s core values and commitment

Qualifications

• Bachelor's degree in a related field (e.g., Nursing, Social Work/Counseling, Psychology).
• Three to five years work related experience in inpatient psychiatric settings or utilization review.
• Strong knowledge of medical records review processes and utilization standards.
• Familiarity with federal, state, and county regulations pertaining to patient care.
• Excellent attention to detail and the ability to analyze complex information.
• Effective communication skills for advocating on behalf of residents and collaborating with medical providers.
• Compassionate and empathetic approach when dealing with patients and their treatment needs.

Responsibilities

• Coordinate design, development, implementation, and monitoring of utilization review functions.
• Achieve goals of clinical, financial and utilization as set forth in the UM plan through effective management and communication.
• Serve as internal resource on issues related to appropriate utilization of resources and coordination of care.
• Contribute to program development and unit performance improvement; align with organization values.

Education

Bachelor's degree in related field

Job description

Responsibilities

PRN Utilization Review Coordinator Needed!

Springwoods Behavioral Health, an 80-bed behavioral health facility located in Fayetteville, Arkansas, provides acute inpatient treatment for adolescent, adult, and specialty program for women. The hospital also offers outpatient treatment. Our six-acre campus is adjacent to a 123-acre Audubon Wildlife and Bird Sanctuary, which is held in perpetuity and cannot be developed from its natural state. This provides Springwoods with a peaceful setting for those embarked on the road to recovery.

Visit us online at: https://www.springwoodsbehavioral.com/

The UM Coordinator coordinates the design, development, implementation, and monitoring of Springwoods Behavioral Health’s utilization review functions. The UM Coordinator will achieve the goals of clinical, financial and utilization as set forth in the UM plan by effective management and communication. The UM Coordinator functions as the internal resource on issues related to the appropriate utilization of resources, coordination of care across the continuum and utilization review. The UM Coordinator is responsible for carrying out assignments in a manner to assure success in financial management, quality and operational management objectives. The UM Coordinator participates in program development and unit performance improvement. The UM Coordinator consistently demonstrates the core values and mission statement of Springwoods Behavioral Health.

Are you passionate about maintaining the highest standards of patient care quality? We’re seeking a dedicated Utilization Management Coordinator to join our team and ensure that the services provided to our facility's residents are in full compliance with established quality standards. If you have a keen eye for detail, a strong understanding of medical records review, and a commitment to advocating for proper treatment, we want to hear from you.

Qualifications

• Bachelor's degree in a related field (e.g., Nursing, Social Work/Counseling, Psychology).
• Three to five years work related experience in Inpatient psychiatric setting as a treatment team member or utilization review experience
• Strong knowledge of medical records review processes and utilization standards.
• Familiarity with federal, state, and county regulations pertaining to patient care.
• Excellent attention to detail and the ability to analyze complex information.
• Effective communication skills for advocating on behalf of residents and collaborating with medical providers.
• Compassionate and empathetic approach when dealing with patients and their treatment needs.

About Universal Health Services

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $13.4 billion in 2022. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 94,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

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.