Utilization Review Case Coordinator

UHS•Lexington, KY

20d•Onsite

About The Position

Utilization Review Case Coordinator Opportunity: Full Time, Day Shift The Case Coordinator is responsible for managing and coordinating the treatment activities offered to the patient, interface with the treatment team/external case managers/managed care organizations, referring professionals and implementation and supervision of the discharge planning. Coordinates and tracks all of the admission and continue stay reviews for pre-certifications. Works closely with Intake/Needs Assessment Department and Clinical Treatment Team to carry out its objectives regarding the provision of utilization management for continued stay reviews. Actively participates in treatment team and works directly with the patient’s in aftercare planning and setting up appointments and facilitates placement referrals for discharge as appropriate. Follows and abides by company policies, procedures, and Corporate Compliance Program, as applicable to role and responsibilities. Ridge Behavioral Health is a 110-bed, behavioral health hospital located in the heart of the Bluegrass, Lexington, KY. The Ridge provides psychiatric and substance use treatment for children, adolescents, and adults. The Ridge offers inpatient, partial hospitalization, intensive outpatient programs, individual counseling, as well as medication management for all ages. We have provided behavioral health services to over 92 Kentucky counties for more than 36 years. The Ridge was the recipient of the 2019 Service Excellence Award. What do our current employees value at The Ridge Behavioral Health & UHS? An environment that puts patient care first. Supportive and responsive leadership. You are never alone, as you are part of a large network of peers and leaders that routinely exchange ideas and review current topics within the industry. Having the opportunity to grow, learn, and advance in your career. There are very robust continuing education options and opportunities for skills diversification and career advancement. One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, our annual revenues were $10.77 billion in 2018. In 2020, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; in 2019, ranked #293 on the Fortune 500; and in 2017, listed #275 in Forbes inaugural ranking of America’s Top 500 Public Companies. Headquartered in King of Prussia, PA, UHS has more than 87,000 employees and through its subsidiaries operates 26 acute care hospitals, 327 behavioral health facilities, 40 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 37 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.

Requirements

Minimum Associate Degree with 5 years mental health experience required.
Excellent written and verbal communication skills.
Crisis intervention training required.
CPR certification

Nice To Haves

Master’s degree in Social work, Psychology, or other Mental Health field or RN license is preferred.
One to two years of experience in a psychiatric hospital is preferred
One to two years of experience in Utilization Management preferred.

Responsibilities

managing and coordinating the treatment activities offered to the patient
interface with the treatment team/external case managers/managed care organizations, referring professionals and implementation and supervision of the discharge planning
Coordinates and tracks all of the admission and continue stay reviews for pre-certifications
Works closely with Intake/Needs Assessment Department and Clinical Treatment Team to carry out its objectives regarding the provision of utilization management for continued stay reviews
Actively participates in treatment team and works directly with the patient’s in aftercare planning and setting up appointments and facilitates placement referrals for discharge as appropriate
Follows and abides by company policies, procedures, and Corporate Compliance Program, as applicable to role and responsibilities.