UTILIZATION REVIEW COORDINATOR

Universal Health Services; Fayetteville (AR); On-site; USD 55,000 - 75,000; Full time

Job summary

Springwoods Behavioral Health in Fayetteville, AR, seeks a full-time Utilization Review Coordinator to coordinate UM functions across the continuum of care. The role focuses on ensuring compliance with quality standards and optimizing patient care resources within a behavioral health setting.

You will work with clinical and administrative teams to monitor utilization, improve processes, and support case management while upholding patient-centered care and regulatory compliance.

Qualifications

• Bachelor's degree in a related field.
• 3–5 years work experience in inpatient psychiatric setting as a treatment team member 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 Springwoods Behavioral Health’s utilization review functions.
• Achieve goals of clinical, financial and utilization as set forth in the UM plan through effective management and communication.
• Serve as the internal resource on issues related to resource utilization and coordination of care across the continuum.
• Carry out assignments to ensure success in financial management, quality and operational objectives.
• Participate in program development and unit performance improvement.
• Demonstrate Springwoods Behavioral Health’s core values and mission in daily work.

Skills

Medical records review

Utilization standards

Attention to detail

Communication skills

Compassionate approach

Advocacy for residents

Education

Bachelor's degree in a related field

Job description

Responsibilities

Full Time 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.