UR COORDINATOR-PRN

UHS • College Park, GA

78d

About The Position

The Utilization Review Coordinator performs admission and concurrent review of patients. Assures optimum quality of patient care in the most cost-effective manner. Works with the ARS, Physicians and the Clinical Staff to ensure quality of documentation of patient care. Conducts concurrent and extended stay reviews on appropriate day and/or specified time. Prepares and submits appeals to third party payers, effectively coordinating collection of all pertinent data to support the hospital and patient's position, as well as other duties as assigned.

Requirements

• Bachelor’s Degree.
• Three (3) years’ experience in chart analysis and utilization review in the psychiatric and chemical dependency field preferred.
• Good oral and written communication skills required.
• Stable emotional makeup required to work in a fast-paced environment with frequent interruptions.

Responsibilities

• Perform admission and concurrent review of patients.
• Assure optimum quality of patient care in a cost-effective manner.
• Work with ARS, Physicians, and Clinical Staff to ensure quality documentation of patient care.
• Conduct concurrent and extended stay reviews on appropriate days and/or specified times.
• Prepare and submit appeals to third party payers.
• Coordinate collection of all pertinent data to support the hospital and patient's position.
• Perform other duties as assigned by the Director of Utilization Management.

What This Job Offers

• Education Level: Bachelor's degree
• Number of Employees: 1,001-5,000 employees