UTILIZATION REVIEW COORDINATOR

Job Description

Responsibilities

Palmetto Lowcountry Behavioral is currently recruiting for Utilization Review Coordinator

Position Summary

The Utilization Review Coordinator will be responsible for proactively monitoring the utilization of continuum services and optimize reimbursement for the system.

Responsibilities include, but are not limited to:

• Develop and maintain effective relationships with Needs Assessment and Business Office.
• Evaluates information in patient record for medical necessity.
• Assist in patient advocacy- related functions

Available Schedule

Day

Benefits for full time employees include :

• Tuition Assistance
• Career development opportunities across UHS and its + locations!
• Diverse programming to expand your experience and energize your career
• HealthStream online learning catalogue with plenty of free CEU courses
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• (K) with company match and discounted stock plan
• We participate in the Dept of Health and Human Services Health Resources and Service Administration (HRSA) Substance Use Disorder Treatment and Recovery (STAR) Program
• For more benefit info, visit www.benefits.uhsguest.com

Qualifications

Education : Master’s Degree or RN required. Clinical degree such as nursing, social work, psychology, health information management or other related healthcare field is preferred.

Experience : Experience in a psychiatric setting preferred; knowledge of health care service delivery systems and third-party reimbursement; knowledge of managed care environment.

Age-Specific Competencies : N/A

Licensure/Certification : CPR preferred; CPI Certification required.

Other : Excellent telephone skills and strong verbal skills; ability to interpret admission and continued stay criteria; understanding of admission and discharge function; familiarity with medical terminology, diagnostic terms and treatment modalities; knowledge of medical record keeping; strong interpersonal, organizational, evaluative, and time management skills; policy interpretation skills; familiarity with applicable standards and regulations; flexibility; attention to detail; able to comprehend psychiatric evaluations, consults, lab results, etc. ; responsiveness to deadlines; assertiveness, persistence, and persuasiveness; able to work with minimal direction or supervision. Basic computer skills, including Microsoft Office and other healthcare software programs is highly preferred.

HIPAA : Has access to and adds information to the Medical Record. May only access medical record of assigned patients.

About Our Organization

Palmetto Lowcountry Behavioral Health, a subsidiary of UHS, is located on the beautiful Ashley River near Charleston, SC, Palmetto Lowcountry Behavioral Health lends a helping hand to people struggling with mental health and substance use disorders. At Palmetto Behavioral Health we are looking for exceptional people who share our mission of providing superior quality healthcare services and our culture of Service Excellence: treat everyone as a guest, demonstrate professionalism and excellence, practice teamwork.

Please visit us online at