Utilization Review Coordinator - Behavioral Health - PRN

Coastalharbor; Georgia; On-site; USD 60,000 - 80,000; Part time

Benefits offered by this job

Challenging work environment

Competitive compensation

Paid Time Off

Excellent Medical, Dental, Vision and Prescription Drug Plans

401(k) with company match

Job summary

A healthcare provider located in Georgia is seeking a Utilization Review Coordinator Per Diem to manage the utilization review process and ensure compliance with health care regulations. Candidates should possess a master's degree in nursing or psychology and ideally have one to two years of relevant experience. This role offers competitive compensation, benefits including medical plans, and a challenging work environment focused on optimal patient care.

Qualifications

• One to two years related experience and/or training preferred.
• Experience in management and leadership skills required.

Responsibilities

• Perform the utilization review process in a timely manner.
• Maintain records for the review process and prepare appeals.
• Supervise information requests from medical records.
• Ensure confidentiality of patient and employee information.
• Perform other duties as necessary.

Skills

Leadership ability

Effective communication skills

Education

Masters degree in nursing, psychology, or related field

Job description

Responsibilities

Coastal Harbor Health is currently seeking a Utilization Review Coordinator Per Diem to coordinate and direct utilization review functions, monitoring the utilization and continuum of services to optimize reimbursement.

Coastal Harbor Health System is comprised of a 114‑bed hospital for children and adolescents, providing both short‑ and long‑term inpatient care, and a 50‑bed inpatient hospital serving men and women, ages 18 and up. We offer compassionate patient care to those who need it the most, serving not only local patients, but also those located across the country. Our hospitals are conveniently located in beautiful, historic Savannah, GA in a quiet setting that provides unparalleled anonymity and privacy, enabling patients to concentrate on treatment.

Job Duties / Responsibilities

• Perform the utilization and review process, for continued stay, in an appropriate and timely manner.
• Maintain appropriate records of the review process for the purpose of preparing and submitting appeals to third‑party payors.
• Respect the confidentiality of patient and employee information.
• Supervise the reception of requests for information from medical records of patients in person, by mail or phone, from various sources from the community at large, and assure that authorizations are properly executed (according to HIPAA guidelines, federal, and state laws) for these requests for client information.
• Perform other duties related to the department as necessity dictates.

Benefit Highlights

• Challenging and rewarding work environment
• Competitive compensation, Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(k) with company match and discounted stock plan
• About Universal Health Services

Qualifications

1. Possess a degree in nursing, psychology, or other appropriate/related field. Masters degree required; Licensed or Licensed eligible.
2. One to Two years related experience and/or training preferred. Must have some management experience with a demonstrated leadership ability and skills to write reports and communicate effectively.

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.