Utilization Review (UR) Coordinator PRN

Granite Hills Hospital offers high-quality, patient centered behavioral health care for the greater Milwaukee community. Our 120-bed facility will feature evidence-based treatment for adolescents, adults, and older adults.

We are looking for looking for a PRN Utilization Review (UR) Coordinator to join our new team.

The UR Coordinator has responsibility for organizing and conducting the managed care process. The duties shall be directed toward supporting the hospital's mission in the pursuit of excellence in care/service and will include (but 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 liaison with MD/Clinical Treatment Team and external agencies. Report authorizations, denials, and documentation concerns, as well as collaborate effectively accross departments to minimize denials/facilitate optimal use of hospital resources.

Granite Hills Hospital offers comprehensive benefits such as:

Competitive Compensation

Excellent Medical, Dental, Vision, and Prescription Drug Plan

Generous Paid Time Off

401(K) with company match and discounted stock plan

Career development opportunities within UHS and its Subsidiaries

Education Assistance

Challenging and rewarding work environment

Interested applicants may apply directly through our website https://granitehillshospital.com/ and apply through the Careers tab.

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. UHS is 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.

The UR Coordinator position requires:

Education:

Bachelor degree in social work, psychology, or counseling. Master's degree in social work, psychology, or counseling preferred.

LPN/LVN required. ADN, BSN preferred.

Limited or full licensure is preferred.

Experience: Experience in psychiatric or substance abuse treatment preferred. Hospital utilization review/utilization management experience required. Experience in settings that include inpatient or partial hospitalization preferred. Familiarity with managed health care process, medical terminology, experience in case management, discharge planning, and/or utilization review preferred.

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.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.

Licensure/Certification: Must possess a valid Driver's License

Knowledge: Prefer knowledge of the Milwaukee behavioral health marketplace, insurance plans, target markets and referral sources, psychiatric and chemical dependency treatment and, age-specific programming.