Job description

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 $11.4 billion in

2019. 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 90,000 employees

and through its subsidiaries operates 26 acute care hospitals, 328 behavioral health facilities, 42

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.

POSITION SUMMARY:

Supervises and coordinates the Utilization Review Coordinators and their job functions for optimal customer satisfaction, resource utilization, and optimize reimbursement for facility. Ensures the UR plan meets requirements of regulatory and licensing groups. Performs the overall function of providing an ongoing, systematic process for the measurement and assessment of the necessity, appropriateness, and efficiency of the use of the company’s Healthcare services, procedures, and facilities.

QUALIFICATIONS:

Education/Training:

RN or Master’s Degree in Behavioral Health Field (e.g. Counseling, Psychology, or Social Work)

Experience:

At least 5 years experience in a psychiatric setting as counselor and/or nurse.

Two years supervisory or management experience.

Licensure/Certification:

· LCSW or RN licensure by the state of North Carolina

· Current North Carolina Driver’s License

Knowledge and Skills:

· Knowledge of appropriate clinical assessment, diagnoses, & interventions with patients.

· Knowledge of admission and discharge criteria and function.

· Knowledge of medical terminology, diagnostic terms, treatment modalities, and medical record keeping.

· Ability to understand psychiatric evaluations, medical consultations, lab results, medication management, and other components of patient treatment.

· Skills in application of DSM methodology

· Effective oral and written communication skills and skills in analyzing and evaluating information

· Intermediate computer skills

· Organizational, time management, problem solving, crisis management skills as well as flexibility, creativity, and the ability to manage stress

· Knowledge of funding sources needs.

· Ability to supervise, plan, and organize the functions of the facility’s Case Management system to minimize denials of payment.

· Ability to manage, prepare, and submit appeal to third party payors on clinical denials.

· Knowledge of payer contracts and regulatory requirements.

· Ability to conduct admission and concurrent reviews and communicate pertinent information to payer and treatment team when needed.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.comor 1-800-852-3449.

Job Type: Full-time

Pay: $34.74 - $43.42 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Health insurance
• Paid time off
• Vision insurance

Physical setting:

• Inpatient

Schedule:

• Monday to Friday

Ability to commute/relocate:

• Raleigh, NC 27610: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Utilization review: 1 year (Required)

License/Certification:

• RN (Preferred)

Work Location: One location

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