UM - Case Manager (LPN/LVN)-FLEX

Job Description

Responsibilities

Virginia Beach Psychiatric Center (a UHS Facility) is a bed acute care, inpatient psychiatric facility for adults in Virginia Beach, VA. VBPC offers specialty mental health treatment for older adults, chronically mentally ill, and substance abuse/detox programming. VBPC is a state of the art building located in the beautiful Virginia Beach area, just minutes from the ocean.

What do our current employees value at Virginia Beach Psychiatric Center & UHS?

An environment that puts patient care first. One of the most rewarding aspects of working at VBPC is providing excellent care, comfort, and security to the patients and families you treat, at their most vulnerable times. Supportive and responsive leadership. You are never alone, as you are part of a large network of peers and leaders that routinely exchange ideas and review current topics within the industry. Having the opportunity to grow, learn, and advance in your career. There are very robust continuing education options and opportunities for skills diversification and career advancement.

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 steadily since its inception into an esteemed Fortune corporation, annual revenues were $.8 billion in 4. 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 , 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.

*UHS is a registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a wholly-owned subsidiary of Universal Health Services, Inc. Universal Health Services, Inc. is a holding company and operates through its subsidiaries including its management company, UHS of Delaware, Inc. All healthcare and management operations are conducted by subsidiaries of Universal Health Services, Inc. To the extent any reference to "UHS or UHS facilities" on this website including any statements, articles or other publications contained herein relates to our healthcare or management operations it is referring to Universal Health Services' subsidiaries including UHS of Delaware. Further, the terms "we," "us," "our" or "the company" in such context similarly refer to the operations of Universal Health Services' subsidiaries including UHS of Delaware. Any employment referenced in this website is not with Universal Health Services, Inc. but solely with one of its subsidiaries including but not limited to UHS of Delaware, Inc.

UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at UHS via-email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means.

Position: Utilization Management Case Manager-FLEX

The Utilization Management Case Manager is primarily responsible for organizing and conducting the managed care process. These duties shall be directed toward supporting the hospital's mission in the pursuit of excellence in care/service and will include, but are not limited to: conducting timely admission and continued stay record reviews with external payers, utilizing approved criteria to make determinations of medical necessity and level of care planning, verifying active treatment by completing internal audit reviews within approved time frames, assisting the treatment team when indicated in the discharge planning process, and acting as a liaison with MD/Clinical Treatment Team and external agencies. The Case Manager will also report authorizations, denials, and documentation concerns, as well as collaborate effectively across departments to minimize denials and faciliate optimal use of hospital resources.

Qualifications

QUALIFICATIONS:

• Bachelors Degree in Social Work, Psychology, Counseling or a current Virginia RN or LPN license is required.
• Full licensure in any one of the following disciplines (LMSW, LLP, LPC, LMFT, etc.).
• A minimum of 2 years of post-graduate related experience in psychiatric or substance abuse treatment desired. Hospital utilization review/utilization management experience preferred
• Experience in settings that include inpatient or partial hospitalization.
• Familiarity with managed health care process, medical terminology, experience in case management, discharge planning, and/or utilization review preferred.
• Familiarity with EPIC/EMR, MIDAS and Windows based applications.

Benefits for Full-Time Staff include:

• Challenging and rewarding work environment
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• (K) with company match and discounted stock plan
• SoFi Student Loan Refinancing Program