1+ months

UTLIZATION REVIEW COORDINATOR - (86429)

Universal Health Services
Lawrenceville, GA 30046
  • Job Code
    86429

One of the nations largest and most respected hospital companies, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Steadily growing from a startup to an esteemed Fortune 500 corporation, UHS today has annual revenue nearing $10 billion. In 2017, UHS was recognized as one of the Worlds Most Admired Companies by Fortune; ranked #276 on the Fortune 500, and listed #275 in Forbes inaugural ranking of Americas Top 500 Public Companies.

Our operating philosophy is as effective today as it was 40 years ago: Build or acquire high quality hospitals in rapidly growing markets, invest in the people and equipment needed to allow each facility to thrive, and become the leading healthcare provider in each community we serve.

Headquartered in King of Prussia, PA, UHS has more than 81,000 employees and through its subsidiaries operates more than 320 acute care hospitals, behavioral health facilities and ambulatory centers in the United States, Puerto Rico, the U.S. Virgin Islands and the United Kingdom.

SummitRidge Hospital provides quality behavioral health and addiction treatment services in Lawrenceville, GA, approximately 30 miles northeast of downtown Atlanta.Our dedicated team of professionalsprovide caring and professional inpatient, outpatient and support services to adults and adolescents suffering from psychiatric or addictive disorders. Additionally, the Geriatric unit provides acute care for seniors in psychiatric crisis. Due to continued growth, we are seeking an experiencedUtilization Review Coordinatorto join our talented team.

Responsibilities include but are not limited to:

Reviews patient records as per contract stipulations/administrative request. Initiates and sustains authorization process with external payor as indicated for any/all levels of care in the treatment continuum; reports status of authorization (or deterrents to same) to MD and treatment team. Serves as liaison to MD/clinical treatment team in regards to documentation needed to support given/requested level of care. Represents benefit parameters to MD, clinical treatment team. Reports authorizations, denials, and documentation concerns to Director, Utilization Review. Works with others involved in the process to minimize denials and facilitate optimal use of resources. Job Requirements

Minimum Qualifications:

  • Licensed clinical professional with current Georgia licensure or RN preferred.

  • Minimum five (5) years in psychiatric/chemical dependency setting with at least two (2) years on clinical team, experience with adolescents and adults.

  • Previous experience with third party payors. Must be familiar with utilization negotiations.

Categories

Posted: 2019-11-07 Expires: 2020-03-23

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UTLIZATION REVIEW COORDINATOR - (86429)

Universal Health Services
Lawrenceville, GA 30046

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