UR COORDINATOR

UHS•Ashland City, TN

5h•Onsite

About The Position

Oak Plains Academy (a UHS company) Located on 20 acres of rolling hills in a rural setting, about 45 minutes from Nashville, Tennessee, Oak Plains Academy offers psychiatric residential treatment services to children and adolescents, struggling with emotional and behavioral issues. The Oak Plains Academy campus features a full-size gymnasium, separate academic building, and four dormitories. Our wooded campus provides an excellent opportunity for outdoor recreational activities such as fishing, hiking, softball and basketball. We are seeking people who want to make a difference as a Utilization Review Coordinator, in the lives of our children by assuring their safety and security and who takes seriously the responsibilities we accept for the youth in our care. The ideal candidate will be patient, accepting, and compassionate and have a true desire to help children. The candidate is someone who can adhere to strict guidelines for our policies regarding supervision of the youth in our care. There will be times when overtime is required and we are seeking someone who can adapt to flexible schedules and is passionate about helping youth with mental health and behavioral problems. The Utilization Review Coordinator is responsible for managing and facilitating a continuum of service while promoting positive outcome and optimal reimbursement, through coordination of patient care, daily clinical reviews, quality documentation, appeals, and reporting and supervising UR team members. Completes discharge practices for patients and families upon discharge. Benefit Highlights 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! About Universal Health Services One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

Requirements

Bachelor’s degree in nursing, social work, psychology, health information management or other related healthcare field is preferred with two years psychiatric experience in chart analysis and in the utilization review field.
Demonstrated understanding of third-party reimbursement and processes involved in re-establishing benefits when unexpectedly terminated; experience in prioritizing review processes within a managed care environment. Experience interpreting admission and continued stay criteria to advocate for appropriate maintenance of benefits.
Demonstrated experience of admission and discharge functions and can discuss current psychopathology with BHO reviewers utilizing integrated clinical knowledge relating to Axis I diagnosis to evidenced clinical documentation.
21 years of age, with a valid drivers license
Flexiable schedule

Nice To Haves

Master Degree preferred.

Responsibilities

managing and facilitating a continuum of service while promoting positive outcome and optimal reimbursement, through coordination of patient care, daily clinical reviews, quality documentation, appeals, and reporting and supervising UR team members.
Completes discharge practices for patients and families upon discharge.