About The Position

This position is responsible for monitoring the treatment activities offered to the patient, interfacing with the treatment team/managed care organizations to ensure quality patient care and collaborating 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. Must have effective communication skills with treatment team members, physician’s and co-workers throughout the hospital.

Requirements

  • Registered Nurse, LPN or Master’s level Social Worker with experience in Utilization Management, preferred
  • Good communication (verbal and written) skills are essential
  • Able to work independently and collegially with all clinical disciplines
  • Has knowledge of regulatory and reimbursement requirements
  • Able to monitor and evaluate records for quality and appropriateness of care
  • Has basic computer skills

Responsibilities

  • monitoring the treatment activities offered to the patient
  • interfacing with the treatment team/managed care organizations to ensure quality patient care
  • collaborating 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
  • effective communication skills with treatment team members, physician’s 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

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Number of Employees

501-1,000 employees

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