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UR COORDINATOR
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Job Description
Responsibilities
Rockford Center is a 138-bed mental health facility located in Newark, DE, providing easy access to a full complement of inpatient and partial behavioral health programs for children and adolescents, adults, and older adults. Rockford is the only child inpatient behavioral health facility in DE, offers an experienced and tenured senior management team, and serves New Castle County and northern Maryland.
Website: Psychiatric and Substance Abuse Services | Rockford Center | Newark, DE
Position Summary
The PRN Utilization Management (UM) Coordinator plays a critical role in ensuring appropriate and cost-effective care for patients within a behavioral health setting. This position is responsible for conducting utilization reviews, verifying medical necessity, and coordinating with clinical teams and insurance providers to support timely authorization of services. The UM Coordinator works on an as-needed basis, providing coverage during peak times, staff absences, or special projects.
Responsibilites
One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.
Requirements
Qualifications
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.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
Pay Transparency
To encourage pay transparency, promote pay equity, and proactively address regulations, UHS and all our subsidiaries will comply with all applicable state or local laws or regulations which require employers to provide wage or salary range information to job applicants and employees. Salary offers may be based on key factors such as education and related experience.
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UR COORDINATOR
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- NEWARK, Delaware
- Behavioral Health, Insurance - Claims
- PRN
- 333837
- Rockford Center
Get future jobs matching this search
or
Job Description
Responsibilities
Rockford Center is a 138-bed mental health facility located in Newark, DE, providing easy access to a full complement of inpatient and partial behavioral health programs for children and adolescents, adults, and older adults. Rockford is the only child inpatient behavioral health facility in DE, offers an experienced and tenured senior management team, and serves New Castle County and northern Maryland.
Website: Psychiatric and Substance Abuse Services | Rockford Center | Newark, DE
Position Summary
The PRN Utilization Management (UM) Coordinator plays a critical role in ensuring appropriate and cost-effective care for patients within a behavioral health setting. This position is responsible for conducting utilization reviews, verifying medical necessity, and coordinating with clinical teams and insurance providers to support timely authorization of services. The UM Coordinator works on an as-needed basis, providing coverage during peak times, staff absences, or special projects.
Responsibilites
- Completes pre-certs and concurrent reviews as assigned, on appropriate day and by the specified time.
- Completes write-ups on new admissions and step-downs/step-ups as assigned, along with the “Change Level of Care” form when applicable.
- Communicates with ARC to gather pre-cert information for new admissions as needed.
- Enters authorizations into the MIDAS by the end of each business day.
- Participates in daily treatment teams: communicates pertinent payor information, requests, or concerns; gathers information needed for reviews, and facilitates the signing of Medicare forms when applicable.
- Takes initiative to independently gather additional information for reviews as needed.
- Calls in discharge information to payor by the end of the business day following discharge, or on day of discharge as required by some payors.
- Signs patient treatment plans.
- Communicates to the Director of UR any unplanned or cancelled discharges, denied days, reasons given for underutilized days, and/or any payor-related problems.
- Facilitates physician reviews promptly when a case is denied.
- Maintains and updates appropriate records of the UR Department, including UR Worksheets and treatment team notes.
- Competitive Compensation
- Chamberlain University Partnership discount
- In-house Psychiatric Nurse Residency Transition-to-Practice
- Orientation (Could earn 20 CEUs)
- Career development opportunities across UHS and its 300 locations!
- Diverse programming to expand your experience and energize your career
- HealthStream online learning catalogue with plenty of free CEU courses
One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.
Requirements
Qualifications
- Master’s prepared Social Worker or Licensed Registered Nurse (or eligible to receive or renew).
- Previous experience in Behavioral Health preferred, but not required.
- Current CPR
- Strong communication, organizational, and critical thinking skills.
- Ability to work independently and adapt to changing priorities in a fast-paced environment.
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.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
Pay Transparency
To encourage pay transparency, promote pay equity, and proactively address regulations, UHS and all our subsidiaries will comply with all applicable state or local laws or regulations which require employers to provide wage or salary range information to job applicants and employees. Salary offers may be based on key factors such as education and related experience.
Apply
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