Responsibilities Utilization Management Coordinator Full-Time $3000 Sign-On Bonus
The candidate selected will be responsible for the following: The Utilization Management Coordinator is responsible for conducting admission and concurrent reviews in accordance with the hospital wide Utilization Management Plan.
The UM Coordinator serves as a liaison to 3rd and 4th party reviewers and conducts focused reviews as determined by the Utilization Management Committee.
The UM Coordinator maintains all records/data required through the UM Plan and Committee and appeals denied authorizations of dates of services when medical necessity for continued care is evident.
The UM Coordinator tracks and reports denials in MIDAS, participates in staff/physician education relative to medical record documentation and actively participates in the UM Committee by tracking data and trends to be reviewed in order to improve the quality of systems as it relates to the UM Plan.
Benefits include: Challenging and rewarding work environment Competitive Compensation & Generous Paid Time Off Excellent Medical, Dental, Vision and Prescription Drug Plans 401(K) with company match and discounted stock plan SoFi Student Loan Refinancing Program Career development opportunities within UHS and its 300+ Subsidiaries!
Streamwood Behavioral Healthcare System (SBHS) is a 178-bed acute care facility located in Streamwood, IL and has been providing mental health treatment to the Chicagoland community and the state of Illinois since 1991.
We are dedicated to offering services to meet the ever-changing emotional and behavioral healthcare needs of children, adolescents, adults, and their families.
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance.
Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $13.4 billion in 2022.
During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies.
Headquartered in King of Prussia, PA, UHS has approximately 94,000 employees and continues to grow through its subsidiaries.
Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.
www.uhs.com
Qualifications EXPERIENCE/EDUCATION: Bachelor's Degree in nursing or Master's Degree in psychology or mental/health/human services field is REQUIRED.
A minimum of three (3) years direct clinical experience in a medical-psychiatric, psychiatric or mental health setting and at least two years experience in utilization management is REQUIRED.
Skills in consumer assessment, motivating families and other resources, treatment planning, and communicating with external review organizations or comparable entities is preferred.
LICENSURE/CERTIFICATION: LPC, LSW, LCPC, OR LCSW highly preferred.
Primary Source Verification shall be required through Illinois Department of Professional Regulations
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
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We take pride in creating a highly efficient and best in class candidate experience.
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