UR Coordinator - PRN/Per Diem

Universal Health Services • Memphis, TN

107d

About The Position

The UM Coordinator possesses knowledge of psychiatric clinical diagnosis and the ability to articulate those indicators professionally. The UM Coordinator evaluates patient medical records to determine severity of patient's illness and determining the appropriateness of level of care. Serves as liaison for patients and hospital with insurance companies. Negotiates and advocates for patient length of stay and level of care. Oversees utilization review activities with other departments to ensure reimbursement for services provided by the hospital. The UM Coordinator facilitates physician weekly staffing meetings and coordinates with physician's outpatient offices for the purposes of billing. The UM Coordinator has a working knowledge of all levels of care offered and appropriately manages patient benefits.

Requirements

• Bachelors prepared healthcare professional (Nursing, Counseling, Psychology or Social Work) required.
• MA/MSW or RN preferred.
• A minimum of 3-5 years direct psychiatric patient care experience.
• Valid TN RN license, LCSW, or LPC preferred.
• Knowledge of psychiatric care, utilization review, insurance reimbursement procedures, DSM-V.
• Advanced computer skills necessary.
• Strong analytical, organizational, verbal and written skills required.

Responsibilities

• Evaluate patient medical records to determine severity of patient's illness.
• Determine the appropriateness of level of care.
• Serve as liaison for patients and hospital with insurance companies.
• Negotiate and advocate for patient length of stay and level of care.
• Oversee utilization review activities with other departments.
• Facilitate physician weekly staffing meetings.
• Coordinate with physician's outpatient offices for billing purposes.
• Manage patient benefits.

Benefits

• Competitive compensation
• Excellent comprehensive benefits
• Opportunities for advancement
• Tuition assistance
• Paid time off

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Hospitals
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees