Care Manager / Utilization Manager

UHS•San Antonio, TX

About The Position

Since 1987, Laurel Ridge Treatment Center has been the premier provider of specialized behavioral health and addictive disease services in San Antonio and South Texas. Our 330-bed facility is one of the largest freestanding psychiatric hospitals in the United States. Set on a therapeutic 29-acre campus in north central San Antonio, Laurel Ridges serves as the setting for the treatment for children, adolescents, young adults, adults, veterans and military personnel. Laurel Ridge’s comprehensive programs treat disorders such as bipolar disorder, psychological trauma, PTSD, depression and anxiety, mental illnesses and addictive disease disorders such as alcoholism, drug addiction and substance abuse. Laurel Ridge Treatment Center is part of one of the nation’s largest and most respected hospital companies, Universal Health Services, Inc. (UHS). UHS has been recognized as one of the World’s Most Admired Companies by Fortune for 10 years in a row. Universal Health Services (UHS) 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 $10.77 billion in 2018. 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 87,000 employees and through its subsidiaries operates 26 acute care hospitals, 327 behavioral health facilities, 40 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.

Requirements

The person selected for this position will have excellent verbal and written communication skills.
The ability to maintain confideniality and patient privacy rights.
Some knowledge of Joint Commission, CMS, Tricare standards.
Computer skills and knowledge of basic case management/utilization review principles.
EDUCATION: Bachelor’s degree required.
LICENSURE/CERTIFICATION: BSN, BSW, MSW
EXPERIENCE: At least two years’ experience in mental health setting with previous experience in Case Management/Utilization Review and discharge scheduling (preferred)

Responsibilities

Provide admission and continued stay reviews to ensure that care meets the clinical needs of the clients and reduces financial risk to the facility.
Participates in measures to improve the delivery and utilization of care and to evaluate the effectiveness of these. Enters all authorizations into the MS4/Midas daily.
Expert in documentation, communication, teamwork, and customer service. Advocates for internal and external customers including the client, family, physician, Treatment Team and Managed Care Organization.
Works in partnership with the Physician through rounds and staffing to facilitate compassionate patient communication and advocacy, effective Treatment Team planning and timely discharge planning.
Provides a strategic link between the Managed Care Organization, Treatment Team goals and the financial aspects of care.