3 days old
2018-01-192018-02-17

Utilization Review Coordinator - (241627)

Universal Health Services
LEESBURG, VA
  • Job Code
    3562
Deltek Talent Management - Utilization Review Coordinator - (241627)

Job Details


Utilization Review Coordinator - (241627)

Facility Name
North Spring Behavioral Healthcare
Location
LEESBURG, VA 20176 US (Primary)
Career Area
Professional
Category
Registered Nurse (RN), Rehabilitation Physical Therapist (RPT)
Job Description

North Spring Behavioral Healthcare, a subsidiary of Universal Health Services, Inc. (UHS),is aDepartment of Behavioral Health and DevelopmentalServices (DBHDS)-licensed, and Joint Commission approved 87-bedPsychiatric Residential Treatment Facility,a 15-bed Inpatient Acute Psychiatric Hospital and newly opened Partial Hospital Program that provides outpatient services.North Spring is situated on 42 acres of scenic greenlands in historic Leesburg, VA, approximately 25 miles northwest of Washington, D.C. We provide therapeutic programs for adolescents in a safe and secure environment that encourages growth and self-responsibility. Universal Health Services, Inc. (UHS) is one of the nation's largest and most respected healthcare management companies, operating through its subsidiaries acute care hospitals, behavioral health facilities and ambulatory centers nationwide. Founded in 1978, UHS subsidiaries now have more than 85,000 employees. The UHS business strategy is to build or purchase healthcare properties in rapidly growing markets and create a strong franchise based on exceptional service and effective cost control. Our success comes from a responsive management style and a service philosophy based on integrity, competence and compassion. With new services being added we are seeking a Utilization Review Coordinator. The UR Coordinator assists admissions in screening patients at the pre-hospital level to ensure that admission criteria are met, and when admitted, follows the chart checking that documentation reflects and meets admission, continued stay, and discharge criteria. Interacts and communicates with clinical staff, Business Office, Admissions, Medical Records, third party reviewers and hospital administration to help receive hospital care they need. Key Responsibilities:&nbs p; 1. Performs clinical reviews over the telephone. Reviews that entire chart to evaluate the appropriateness of admission, continued stay, discharge criteria and identifies high-risk cases.. 2. Facilitates discharge planning with treatment team and coordinates continuum of care for the patient with Social Worker. Monitors the effectiveness of patient outcomes. 3. Attends treatment team meetings and serves as a liaison and patient advocate between insurance companies and the treatment team. 4. Notifies and alerts Director of UR of potential utilization review problems or denials; assists in the preparation and implementation of the appeals process. 5. Monitors documentation in clinical records and reports problematic areas to appropriate supervisor, Director of UR. 6. Assists admissions with screening patients on the pre-hospitalization level to ensure admission criteria are met.

Job Requirements

Minimum Requirements: Master's degree in Human Services or related field. Prefer experience with children and adolescents in psychiatric

Categories

  • Insurance
  • Healthcare

Universal Health Services

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Utilization Review Coordinator - (241627)

Universal Health Services
LEESBURG, VA
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Utilization Review Coordinator - (241627)

Universal Health Services
LEESBURG, VA

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