Utilization Review Coordinator / Outpatient Nurse (RN) - Behavioral Health Setting

Responsibilities

This position is required to be onsite!

Highlands Behavioral Health System is an 86 bed, acute care psychiatric hospital located in Littleton, CO. Highlands features individual units for adolescents, adults, and seniors, and offers inpatient acute care, partial hospitalization, and intensive outpatient programs.

Website : https : / / highlandsbhs.com

The Utilization Review Coordinator possesses knowledge of psychiatric clinical diagnosis and the ability to articulate those indicators professionally. The UM Coordinator manages medical necessity by evaluating the patient medical records to determine severity of patient's illness and determining the appropriateness of level of care. Serves as liaison for patients and hospital with insurance companies. Negotiates and advocates for patient length of stay and level of care. Oversees utilization review activities with other departments to ensure reimbursement for services provided by the hospital. The UM Coordinator leads physician daily treatment team meetings, manages authorizations and reviews for outpatient programming and at time of admission is responsible for obtaining the precertification. The UM coordinator must be able to work with the business office and admissions departments to complete preliminary verification of benefits. The UM Coordinator has a working knowledge of all levels of care offered and appropriately manages patient benefits. This role will also act as the Outpatient RN and will assist with clinical screening of admissions, collaborating on treatment plans, interfacing with the treatment team, external case managers, and managed care organizations, and assisting the provider with provider visits and medication management as needed.

Benefit Highlights :

• Tuition and Educational Reimbursement Program.
• Student Loan Repayment Program.
• Challenging and rewarding work environment
• Career development opportunities within UHS and its Subsidiaries
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• Discounts on pet insurance, automotive insurance & homeowners insurance
• 401(K) with company match and discounted stock plan
• Career development opportunities within UHS and its Subsidiaries
• SoFi Student Loan Refinancing Program
• More information is available on our Benefits Guest Website : benefits.uhsguest.com

Questions or concerns? Contact the Human Resources department at HIGHLANDSBHSHumanResourceContact@uhsinc.com.

Screening of applications begins immediately and continues until the position is filled.

Qualifications

Requirements :

About Universal Health Services

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.

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