Utilization review nurse [h1.location_city]

Responsibilities

Utilization Management Coordinator

Compass Intervention Center is seeking a dynamic and talented Utilization Management Coordinator. Our mission is to provide superior behavioral healthcare services that patients recommend to family and friends; physicians choose for their patients; purchasers select for their clients; and employees are proud of. Compass Intervention Center believes and applies the following principles : service excellence, continuous improvement in measurable ways, employee development, ethical and fair treatment of all, teamwork, compassion, and innovation in service delivery. Visit our website at www.compassinterventioncenter.com.

The Utilization Management Coordinator will possesses knowledge of psychiatric clinical diagnosis and the ability to articulate those indicators professionally. The Utilization Management Coordinator evaluates client medical records to determine severity of client's illness and determining the appropriateness of level of care. Serves as liaison for clients and facility with insurance companies. Negotiates and advocates for client length of stay and level of care. Oversees utilization management activities with other departments to ensure reimbursement for services provided by the facility. The UM Coordinator has a working knowledge of all levels of care offered and appropriately manages client benefits.

Key Responsibilities include :

To perform this job successfully, an individual must be able to perform each primary duty satisfactorily. The specifications listed below are representative of the knowledge, skill, and ability to meet the minimum requirements for this position.

One of the nation's 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 World's Most Admired Companies by Fortune; ranked #276 on the Fortune 500, and listed #275 in Forbes inaugural ranking of America's 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.

Qualifications

Position Requirements :

MA / MSW or RN highly preferred / Bachelor's degree in social science required.

• Prior experience working with a psychiatric mental health population, preferably in an inpatient setting.
• Valid TN RN license, LCSW, or LPC preferred.
• Prefer knowledge of health information management and health care delivery systems, medical and psychiatric terminology, confidentiality and release of information laws, leadership skills and various computer and word processing programs.

This opportunity provides the following :

About Universal Health Services

One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $15.8 billion in 2024. UHS was again recognized as one of the World's Most Admired Companies by Fortune; listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

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.

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.