2 days old
2018-05-242018-06-23

COORD - CASE MGMT/UTILIZ REV - (16031)

Universal Health Services
CHICAGO, IL
  • Job Code
    16031
Deltek Talent Management - COORD - CASE MGMT/UTILIZ REV - (16031)

Job Details


COORD - CASE MGMT/UTILIZ REV - (16031)

Facility Name
Garfield Park Hospital
Location
CHICAGO, IL 60624 US (Primary)
Career Area
Professional
Category
Billing
Job Description

Utilization Review Coordinator (PT)

 

 

Universal Health Services, Inc. (UHS) knows what it takes to lead, inspire and succeed. One of the nation’s largest and most respected hospital companies, UHS owns and operates through its subsidiaries acute care hospitals, behavioral health facilities and ambulatory centers in the United States, Puerto Rico, the U.S. Virgin Islands and the United Kingdom. UHS built an impressive record of achievement and performance, steadily growing from a startup company with zero revenue into a Fortune 500 corporation with annual revenue that exceeds $9 billion. The company's operating philosophy has proven to be effective: Build or acquire high quality hospitals in rapidly growing markets, then invest in the people and equipment needed to allow each facility to thrive and become a dominant healthcare provider in its community. Headquartered in King of Prussia, PA, UHS ranks on the Fortune 500 list of America's largest corporations with over 74,000 employees, and is consistently listed among Fortune's "Most Admired Companies” and one of the 30 Most Meaningful Companies To Work For in America by Business Insider.

 

JOB SUMMARY: Conducts admission reviews and concurrent reviews in accordance with the hospital-wide Utilization Review Plan.  Serves as liaison to 3rd and 4th party reviewers.  Conducts focused reviews as determined by the Utilization Review and/or Quality Assurance Committees.  Maintains all records/data pertaining to the Utilization Review Program.  Participates in staff/M.D. education relative to medical record documentation.  Actively participates in Utilization Review including presentation of reports, statistics, etc.  Participates in the hospital-wide Quality Assurance Program.

 

JOB SPECIFICATIONS: To perform this job successfully, an individual must be able to perform each primary duty satisfactorily.  The requirements listed below are representative of the knowledge, skill and/or ability required. 

Job Requirements

Education:   Bachelor’s Degree in Behavioral Health Field required; Master Degree preferred.

 

Experience:   1 year experience in Utilization Review; 1 year experience in mental health/psychiatry preferred

 

Licensure/Certification:   None

 

Knowledge:  Possesses knowledge of utilization review, insurance and managed care procedures. Current knowledge of regulating /accrediting agency guidelines. Basic knowledge of computer skills and statistical analysis desired

v15.0.4.1

Categories

Universal Health Services

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Universal Health Services
CHICAGO, IL
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Universal Health Services
CHICAGO, IL

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