FT UTILIZATION REVIEW COORDINATOR

UHS • Jacksonville, FL

7h • $26 - $37 • Onsite

About The Position

This full-time Utilization Review Coordinator position is responsible for monitoring patient treatment activities, collaborating with the treatment team and managed care organizations to ensure quality patient care, and coordinating with referring professionals for continuity of care. The role involves completing concurrent reviews for mental health and dual diagnosis patients across inpatient and outpatient services, as well as managing appeals until a final decision is reached. Universal Health Services, Inc. (UHS) is one of the nation’s largest and most respected providers of hospital and healthcare services, a Fortune 500 corporation with annual revenues of $15.8 billion in 2024 and over 99,000 employees. UHS operates acute care hospitals, behavioral facilities, outpatient facilities, and various related services across the United States, Washington, DC, Puerto Rico, and the United Kingdom. River Point Behavioral Health, a UHS subsidiary located in Jacksonville, Florida, is an 80-bed adolescent and adult Baker Act receiving facility. It provides high-quality, individualized mental health and addiction services in a confidential, caring environment, promoting crisis resolution, positive self-awareness, personal growth, and problem-solving, operating 24 hours a day, seven days a week.

Requirements

• Registered Nurse, LPN or Master’s level Social Worker
• Good communication (verbal and written) skills
• Able to work independently and collegially with all clinical disciplines
• Knowledge of regulatory and reimbursement requirements
• Able to monitor and evaluate records for quality and appropriateness of care
• Basic computer skills

Nice To Haves

• Experience in Utilization Management

Responsibilities

• Monitor the treatment activities offered to the patient
• Interface with the treatment team/managed care organizations to ensure quality patient care
• Collaborate with referring professionals for continuity of care
• Complete concurrent reviews for mental health and dual diagnosis patients for both inpatient and outpatient services
• Complete appeals and follow up on all appeals until a final decision is determined
• Maintain effective communication with treatment team members, physicians, and co-workers throughout the hospital

Benefits

• Challenging and rewarding work environment
• Competitive Compensation
• 401(K) with company match and discounted stock plan
• Career development opportunities within UHS and its 300+ Subsidiaries!
• SoFi Student Loan Refinancing Program
• More information is available on our Benefits Guest Website: benefits.uhsguest.com

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 501-1,000 employees