Utilization Review Coordinator Job at Holly Hill Hospital

Holly Hill Hospital Raleigh, NC 27610

$23.22 - $34.82 an hour

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal

Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily

since its inception into an esteemed Fortune 500 corporation, our annual revenues were $11.4 billion in

2019. In 2020, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; in

2019, ranked #293 on the Fortune 500; and in 2017, listed #275 in Forbes inaugural ranking of America’s

Top 500 Public Companies. Headquartered in King of Prussia, PA, UHS has more than 90,000 employees

and through its subsidiaries operates 26 acute care hospitals, 328 behavioral health facilities, 42

outpatient facilities and ambulatory care access points, an insurance offering, a physician network and

various related services located in 37 U.S. states, Washington, D.C., Puerto Rico and the United

Kingdom

Purpose:

· Coordinate and monitor appropriate utilization and documentation of services throughout the course of treatment for patients admitted to the inpatient and outpatient programs and coordinate authorization with third-party payors.

· Review cases for appropriateness of admission, continued stay, and discharge planning.

· Assist in the promotion and maintenance of high quality patient care through the analysis, review and evaluation of clinical practices within the Hospital.

· Recommend plans of corrective action and monitor the impact of the action taken.

· Maintain communication system based on documentation and verbal exchange regarding treatment.

· Communicate with internal and external entities to facilitate acquisition of resources.

Qualifications:

Education/Training:

RN Licensure or Master’s Degree in Behavioral Health Field (e.g. Counseling, Psychology, or Social Work) or at least 4 years of Utilization Review

Experience:

Experience in an inpatient psychiatric setting as counselor and/or nurse is preferred.

Licensure/Certification:

RN Licensure or Master’s Degree in Behavioral Health Field (e.g. Counseling, Psychology, or Social Work)

Knowledge and Skills:

· Skills in application of DSM methodology.

· Excellent telephone etiquette, tact, and audible speech, with good enunciation.

· Ability to interact effectively with persons of widely diverse roles, backgrounds, cultures, and socio- economic classes.

· Effective oral and written communication skills and skills in analyzing and evaluating information.

· Ability to concentrate on tasks and meet deadlines.

· Intermediate computer skills.

· Organizational, time management, problem solving, crisis management skills as well as flexibility, creativity, and the ability to manage stress

· Understand appropriate clinical assessment, diagnoses, & interventions with patients.

· Understand admission and discharge criteria and function.

· Understand medical terminology, diagnostic terms, treatment modalities, and medical record keeping.

· Understand psychiatric evaluations, medical consultations, lab results, medication management, and other components of patient treatment.

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.comor 1-800-852-3449.

Job Type: Full-time

Pay: $23.22 - $34.82 per hour

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Disability insurance
  • Health insurance
  • Paid time off
  • Vision insurance

Medical specialties:

  • Psychiatry

Physical setting:

  • Hospital
  • Inpatient

Schedule:

  • Monday to Friday

Ability to commute/relocate:

  • Raleigh, NC 27610: Reliably commute or planning to relocate before starting work (Required)

Experience:

  • Utilization review: 1 year (Required)

License/Certification:

  • RN or LCSW (Required)

Work Location: In person




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