UR COORDINATOR

UHS•Horsham Township, PA

10d

About The Position

The Horsham Clinic is seeking a dynamic and talented Utilization Review Specialist. The Horsham Clinic is a 206 bed private behavioral healthcare facility located on a beautiful 55-acre suburban campus. We are minutes from Philadelphia and we serve Southeastern Pennsylvania and New Jersey. The Horsham Clinic provides comprehensive behavioral health services to children, adolescents, adults, and their families. Programs and services are located on the main campus in Ambler, Pennsylvania, as well as satellite day hospital programs in Pennsylvania, Delaware County, and Chester County. We offer competitive rates, excellent benefits (after 30 days), 401(k) tuition reimbursement& PTO. If you are interested in becoming part of a well-respected industry leader, then we invite you send your resume. The UR Specialist is responsible for evaluating medical records to determine severity of patient's illness and determining the appropriate level of care. UR Specialist will serve as a liaison for patients and hospital with insurance companies. UR Specialist will negotiate and advocate for the patients length of stay and level of care. Oversees UR activities with other departments to ensure reimbursement for the services provided by the hospital.

Requirements

Exposure to psychiatric patients who may exhibit violent/ aggressive behavior.
General hospital environment.
Must be willing to work with kids and adolescents.
Masters Level Education/ MSW
RN License in the state of Pennsylvania
Licensure in LSW/ LSCW
Demonstrates working knowledge of behavioral mental health, nursing clinical practices, and management
Experience in interviewing patients and families in order to obtain clinical information and acute symptoms
Highly Developed written and verbal communication skills
3 or more years of experience in behavioral health setting
Ability to plan, direct, and monitor others activities with demonstrated leadership abilities that contribute to a positive work environment.
Proficiency with common computer based applications such as electronic mail, word processing and various databases

Responsibilities

Evaluating medical records to determine severity of patient's illness and determining the appropriate level of care.
Serve as a liaison for patients and hospital with insurance companies.
Negotiate and advocate for the patients length of stay and level of care.
Oversees UR activities with other departments to ensure reimbursement for the services provided by the hospital.