UTILIZATION REVIEW COORDINATOR/PD
About The Position
University Behavioral Center, a subsidiary of Universal Health Services, Inc. (UHS), is committed to providing intensive mental health services to children, adolescents and adults as well as detox and substance abuse programs for adults. Our mental health facility provides safe and effective inpatient treatment to assist individuals in leading more productive and fulfilling lives. The facility is located on a beautiful 14-acre campus in Orlando, Florida, and includes 112 licensed beds. We are currently seeking qualified professionals with active/clear license in the state of Florida. Previous experience in a psychiatric facility or rehabilitation program is required. POSITION SUMMARY: The main duties of the UM Coordinator are: To coordinate and monitor appropriate utilization and documentation of services throughout the course of treatment for patients admitted to the inpatient and outpatient programs and coordinate authorization with third-party payors. UM Coordinators also review cases for appropriateness of admission, continued stay, and discharge planning. They assist in the promotion and maintenance of high quality patient care through the analysis, review and evaluation of clinical practices. Other duties include: Recommending plans of corrective action and monitoring the impact of the action taken; maintaining communication system based on documentation and verbal exchange regarding treatment; and communicating with internal and external entities to facilitate acquisition of resources. This is a Per-Diem position/weekday schedule
Requirements
- Bachelor’s Degree, Master's preferred, or RN Licensure from an accredited college or university in social work, mental health or a related field.
- A minimum of two (2) years direct clinical experience in a psychiatric or mental health setting.
- Experience in patient assessment, family motivation, and communication with external review organization or comparable entities.
Responsibilities
- Coordinate and monitor appropriate utilization and documentation of services throughout the course of treatment for patients admitted to the inpatient and outpatient programs
- Coordinate authorization with third-party payors
- Review cases for appropriateness of admission, continued stay, and discharge planning
- Assist in the promotion and maintenance of high quality patient care through the analysis, review and evaluation of clinical practices
- Recommending plans of corrective action and monitoring the impact of the action taken
- Maintaining communication system based on documentation and verbal exchange regarding treatment
- Communicating with internal and external entities to facilitate acquisition of resources
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What This Job Offers
Career Level
Mid Level
Number of Employees
1,001-5,000 employees
