Utilization Management Coordinator-prn - Houston, United States - West Oaks Hospital

West Oaks Hospital
West Oaks Hospital
Verified Company
Houston, United States

3 weeks ago

Mark Lane

Posted by:

Mark Lane

beBee recruiter
Description

Responsibilities:


Utilization Management Coordinator -PRN Opportunity

West Oaks Hospital has provided psychiatric care to the Houston area and surrounding communities for over four decades. Our 176-bed acute care facility is fully accredited and included a 16-bed residential treatment center for adult chemical dependency.

We offer a broad range of behavioral health programs for children, adolescents and adults.
Treatment is offered at multiple levels of care including inpatient, partial hospitalization and intensive outpatient.


We are available 24 hours a day, seven days a week to assist you and answer your questions about treatment options and insurance coverage.

The hospital is easily accessible off the Southwest Freeway near the Galleria.


West Oaks Hospital is seeking a dynamic and talented
Utilization Management Coordinator
PRN to join our team of compassionate, dedicated professionals.

The Utilization Management Coordinator provides administrative case management, conducts admission and continued stay reviews, assists in appeal of inappropriate reimbursement denials, participates in the hospital's Performance Improvement Plan.


Job Duties/Responsibilities:


  • Monitors cases for medical necessity, appropriate duration of service and over or under utilization of resources.
  • Completes admission and continued stay reviews with managed care companies and obtains certification.
  • Identifies documentation defects.
  • Participates in efforts to recover denials.
  • Collaborates with medical staff, administration and treatment team.
  • Participates in efforts to recover denials.

Benefit Highlights:


  • Challenging and rewarding work environment
  • Competitive Compensation & Generous Paid Time Off
  • Career development opportunities within UHS and its 300+ Subsidiaries

About Universal Health Services
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 $14.3 billion in 2023.

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.


Qualifications:

Requirements:


  • Education Required: Bachelor's Degree in Psychology, Social Work, Nursing or related field, or Associate Degree in Nursing

Preferred:
Masters degree in human related field.

  • Licensure and certification Required: CPR and hospital deescalation certifications

Preferred:
TX LVN, RN or LCDC license.

  • Experience Required: Minimum of one year of case management experience and one year inpatient psychiatric experience

Preferred experience:
5 years of clinical or case management experience.


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