Talent.com
Utilization Review Coordinator - Behavioral Health - PRN
Utilization Review Coordinator - Behavioral Health - PRNUniversal Health Services, Inc. • Savannah, GA, United States
Utilization Review Coordinator - Behavioral Health - PRN

Utilization Review Coordinator - Behavioral Health - PRN

Universal Health Services, Inc. • Savannah, GA, United States
[job_card.30_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

Responsibilities

Coastal Harbor Health is currently seeking a Utilization Review Coordinator Per Diem To coordinate and direct Utilization Review functions, monitoring the utilization and continuum of services to optimize reimbursement.

Coastal Harbor Health System is comprised of a 114-bed hospital for children and adolescents, providing both short- and long-term inpatient care, and a 50 bed inpatient hospital serving men and women, ages 18 and up. We offer compassionate patient care to those who need it the most, serving not only local patients, but also those located across the country. Our hospitals are conveniently located in beautiful, historic Savannah, GA in a quiet setting that provides unparalleled anonymity and privacy, enabling patients to concentrate on treatment.

Job Duties / Responsibilities :

Perform the utilization and review process, for continued stay, in an appropriate and timely manner.

Maintain appropriate records of the review process for the purpose of preparing and submitting appeals to third party payors.

Respect the confidentiality of patient and employee information.

Maintain appropriate records of the review process for the purpose of preparing and submitting appeals to third party payors.

Supervise the reception of requests for information from medical records of patients in person, by mail or phone, from various sources from the community at large, and assures that authorizations are properly executed (according to HIPAA guidelines, federal, and state laws) for these requests for client information.

Perform other duties related to the department as necessity dictates.

Benefit Highlights :

  • Challenging and rewarding work environment
  • Competitive compensation, Paid Time Off
  • Excellent Medical, Dental, Vision and Prescription Drug Plans
  • 401(k) with company match and discounted stock plan
  • About Universal Health Services

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 $13.4 billion in 2022. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 94,000 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

Qualifications

EDUCATION and / or EXPERIENCE

  • Possess a degree in nursing, psychology, or other appropriate / related field. Masters degree required; Licensed or Licensed eligible;
  • One to Two years related experience and / or training preferred Must have some management experience with a demonstrated leadership ability and skills to write reports and communicate effectively.
  • 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.

    We believe that diversity and inclusion among our teammates is critical to our success.

    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 $13.4 billion in 2022. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 94,000 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

    [job_alerts.create_a_job]

    Utilization Review Coordinator • Savannah, GA, United States

    [internal_linking.related_jobs]
    Utilization Management Coordinator

    Utilization Management Coordinator

    VirtualVocations • Savannah, Georgia, United States
    [job_card.full_time]
    A company is looking for a Utilization Management Intake Coordinator.Key Responsibilities Act as a liaison for durable home medical requests and manage referral documentation Process incoming ca...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Pennsylvania Licensed Utilization Review Clinician

    Pennsylvania Licensed Utilization Review Clinician

    VirtualVocations • Savannah, Georgia, United States
    [job_card.full_time]
    A company is looking for a Utilization Review Clinician - Behavioral Health.Key Responsibilities Evaluates treatment for mental health and substance abuse to ensure medical appropriateness Perfo...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Pennsylvania Licensed Utilization Manager

    Pennsylvania Licensed Utilization Manager

    VirtualVocations • Savannah, Georgia, United States
    [job_card.full_time]
    A company is looking for a UM Care Manager (RN).Key Responsibilities : Conduct utilization reviews and assess member barriers to care Document clinical information and activities in the care mana...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Patient Access Coordinator

    Patient Access Coordinator

    VirtualVocations • Savannah, Georgia, United States
    [job_card.full_time]
    A company is looking for a Patient Access Coordinator Full Time.Key Responsibilities : Answer a high volume of calls daily using a multi-line phone Schedule appointments for multiple clinical sit...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Pennsylvania Wellness Associate II

    Pennsylvania Wellness Associate II

    VirtualVocations • Savannah, Georgia, United States
    [job_card.full_time]
    A company is looking for a Wellness Associate II to provide screening and education services in the community.Key Responsibilities Develop and implement health and wellness programs and initiativ...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Local Contract Nurse RN - PCU - Progressive Care Unit

    Local Contract Nurse RN - PCU - Progressive Care Unit

    HealthTrust Workforce Solutions Regional • Savannah, GA, US
    [job_card.full_time]
    HealthTrust Workforce Solutions Regional is seeking a local contract nurse RN PCU - Progressive Care Unit for a local contract nursing job in Savannah, Georgia. Job Description & Requirements.Lo...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel Nurse RN - Home Health

    Travel Nurse RN - Home Health

    Ardor Health Solutions • Savannah, GA, US
    [job_card.full_time]
    Ardor Health Solutions is seeking a travel nurse RN Home Health for a travel nursing job in Savannah, Georgia.Job Description & Requirements. Access to 24 / 7 telephone support during your contrac...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Behavioral Health Care Manager

    Behavioral Health Care Manager

    VirtualVocations • Savannah, Georgia, United States
    [job_card.full_time]
    A company is looking for a Behavioral Health Care Manager to work full-time and remotely from anywhere within the United States. Key Responsibilities Accept patient handoffs from Intake Care Manag...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Referral Program Coordinator

    Referral Program Coordinator

    VirtualVocations • Savannah, Georgia, United States
    [job_card.full_time]
    A company is looking for a Referral Program Coordinator for a PRN, day shift position.Key Responsibilities Process internal, incoming, and external referrals for Ambulatory services, procedures, ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Intake Coordinator

    Intake Coordinator

    VirtualVocations • Savannah, Georgia, United States
    [job_card.full_time]
    A company is looking for an Intake Coordinator, Non-Clinical PRN.Key Responsibilities Timely entry of home health referrals and communication with care center and business development staff Demo...[show_more]
    [last_updated.last_updated_30] • [promoted]
    RN Utilization Management

    RN Utilization Management

    VirtualVocations • Savannah, Georgia, United States
    [job_card.full_time]
    A company is looking for an RN Utilization Management remote.Key Responsibilities Participates in designated committees and task forces related to the Utilization Management Program Coordinates ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Patient Engagement Coordinator

    Patient Engagement Coordinator

    VirtualVocations • Savannah, Georgia, United States
    [job_card.full_time]
    A company is looking for a Patient Engagement Coordinator to support patient compliance and education in remote monitoring programs. Key Responsibilities Access multiple software systems to assess...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Senior Intake Coordinator

    Senior Intake Coordinator

    VirtualVocations • Savannah, Georgia, United States
    [job_card.full_time]
    A company is looking for a Senior Intake Coordinator.Key Responsibilities Receive and answer phone calls, processing Durable Medical Equipment (DME) and Home Health (HH) referrals Maintain and m...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Utilization Review Coordinator - Behavioral Health - PRN

    Utilization Review Coordinator - Behavioral Health - PRN

    Universal Health Services, Inc. • Savannah, Georgia, United States
    [job_card.full_time]
    Coastal Harbor Health is currently seeking a.Utilization Review Coordinator Per Diem.To coordinate and direct Utilization Review functions, monitoring the utilization and continuum of services to ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel CT Tech - $2146.78 / Week

    Travel CT Tech - $2146.78 / Week

    FlexCare • Savannah, GA, US
    [job_card.full_time]
    FlexCare is seeking an experienced CT Tech for an exciting Travel Allied job in Savannah, GA.Shift : 3x12 hr PMs Start Date : 01 / 05 / 2026 Duration : 13 weeks Pay : $2146. Level I Trauma and Teaching Faci...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Telehealth Coordinator

    Telehealth Coordinator

    VirtualVocations • Savannah, Georgia, United States
    [job_card.full_time]
    A company is looking for a Telehealth Coordinator for its Virtual Care Center.Key Responsibilities Manage inbound and outbound calls in the Virtual Care Center queue Schedule virtual appointment...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Utilization Review Specialist

    Utilization Review Specialist

    VirtualVocations • Savannah, Georgia, United States
    [job_card.full_time]
    A company is looking for a Specialist, Appeals and Utilization Review.Key Responsibilities Investigate and process intake of Organization Determinations, Appeals, and Grievances (ODAG) in a timel...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Utilization Manager for ABA Services

    Utilization Manager for ABA Services

    VirtualVocations • Savannah, Georgia, United States
    [job_card.full_time]
    A company is looking for a Utilization Manager for ABA Services.Key Responsibilities Lead day-to-day scheduling operations for Behavior Technicians and Supervisors, ensuring efficient service del...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]