UR COORDINATOR (LVN OR RN)

UHSArlington, TX
14hOnsite

About The Position

The Utilization Review Coordinator (UR) is responsible for conducting external reviews and maintaining documentation of such. Has active participation in treatment team to facilitate communication regarding patient concise reporting of clinical criteria to payors in a professional and non-judgmental manner. Also interprets clinical data in order to obtain level of care for patients. Conducts daily census meeting. Assists with clinical programming as requested.

Requirements

  • RN, LVN or Master’s degree in other human relations field.
  • RN, LMSW, LPC, LVN preferred
  • Minimum of two (2) years experience in utilization review with customer contact preferred.
  • Working knowledge of the Mental Status Exam.
  • Working knowledge of the Addiction and Recovery field.
  • Working knowledge of insurance criteria for various levels of care.
  • CPI and CPR in accordance with New Hire policy must be completed prior to providing direct care.

Responsibilities

  • conducting external reviews
  • maintaining documentation
  • active participation in treatment team to facilitate communication regarding patient concise reporting of clinical criteria to payors in a professional and non-judgmental manner
  • interprets clinical data in order to obtain level of care for patients
  • Conducts daily census meeting
  • Assists with clinical programming as requested

Benefits

  • Challenging and rewarding work environment
  • Competitive Compensation & Generous Paid Time Off
  • Excellent Medical, Dental, Vision and Prescription Drug Plans
  • 401(K) with company match and discounted stock plan
  • Career development opportunities within UHS and its 300+ Subsidiaries, Puerto Rico and the United Kingdom.

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Number of Employees

1,001-5,000 employees

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