UR COORDINATOR-PRN

UHS • College Park, GA

77d

About The Position

Position Summary: 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

• Education: Bachelor’s Degree
• Experience: Three (3) years’ experience in chart analysis and utilization review in the psychiatric and chemical dependency field preferred.
• License/Certification: Not Required
• Skills: Good oral and written communication skills required to communicate in a clear and concise manner with patients, physicians, staff and administration. Stable emotional makeup required to work in a fast-paced environment with frequent interruptions.
• Physical Requirements: Work is partly sedentary requiring sitting most of the day. Sitting at least five (5) hours a day while completing concurrent reviews, processing paperwork, answering phones/emails and other described duties. Standing at least one hour a day while making copies, faxing, retrieving and returning charts, etc. Lifting charts and up to 20 lbs of copier paper from floor level.
• Other: Performs others duties as assigned by Director of Utilization Management.

Nice To Haves

• Three (3) years’ experience in chart analysis and utilization review in the psychiatric and chemical dependency field preferred.

Responsibilities

• 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.

What This Job Offers

• Job Type: Part-time
• Number of Employees: 1,001-5,000 employees