Jobs
>
Houston

    Utilization Management Coordinator-PRN - Houston, United States - UHS

    UHS
    Default job background
    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.

    Visit us online at:

    West Oaks Hospital is seeking a dynamic and talented Utilization Management CoordinatorPRN 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.

    Headquartered in King of Prussia, PA, UHS has approximately 96,700 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.

    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 de-escalation 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.
    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: or


  • West Oaks Hospital Houston, United States

    **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 ...


  • Baylor College of Medicine Houston, United States

    **Summary**: · The Division of Pathology and Immunology is seeking a Coordinator, Program Management for the fellowship and residency programs who will provide managerial and administrative support for both programs. · **Job Purpose**: · Provides administrative support for an edu ...


  • Harris County Houston, United States

    **Position Description**: · **Department History Overview** · - Harris County Resources for Children and Adults was founded in 1966 as The Harris County Child Welfare Board to provide support services for children taken under the wing of the Texas Department of Family and Protect ...


  • HCA Houston Healthcare West Houston, United States

    **Introduction**:** Do you have the career opportunities as a Risk Management Coordinator in your current role? We invest in what matters most to healthcare employees like you - at home, at work, and at every stage in your career. We have an exciting opportunity for you to join H ...


  • Universal Health Services Houston, United States

    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 resi Management, Coordinator, Heal ...


  • St. Joseph Medical Center Houston, United States

    **JOB SUMMARY**: Responsible to provide support to the Case Management/Social Work Department. This position will support all Case Management Department Staff by dispersing orders, processing requests for appeal letters, typing, filing, ordering supplies, payroll, data entry, ans ...


  • Harris Health System Houston, United States

    Harris Health is a nationally recognized health system comprising three teaching hospitals and an extensive network of ambulatory care centers serving the people of Harris County, Texas, since 1966. Staffed by the faculty, fellows and residents from two nationally ranked medical ...


  • Harris Health System Houston, United States

    Harris Health is a nationally recognized health system comprising three teaching hospitals and an extensive network of ambulatory care centers serving the people of Harris County, Texas, since 1966. Staffed by the faculty, fellows and residents from two nationally ranked medical ...


  • Signs By G Houston, United States

    **Job Title: Project Manager/Coordinator - Sign Manufacturing** · **Location**: SW Houston Area · **Company**: Signs By G · **About Us**: · Signs By G is a leading provider of commercial signage solutions, specializing in channel letters, pylon signs, window graphics, and interio ...


  • Booz Allen Houston, United States

    Project Management Coordinator · **The Opportunity**: · As a project management specialist, you know the complexities of supporting a project from concept to completion. Many projects require a significant investment of limited resources, and it's imperative to keep the project o ...


  • WCL Group Houston, United States

    **CLIENT HIGHLIGHT** · The Client you will be working for is a Fortune 100 Oil and Gas Company. This opportunity will give you experience in the energy sector in the United States with a company that is a globally recognized leader in energy production and one of the biggest comp ...


  • Harris County Houston, United States

    **Position Description**: · Harris County Public Health has earned the 2023 Best Place for Working Parents Business Designation. · **About Harris County Public Health**: · Harris County Public Health (HCPH) includes a network of more than 700 public health professionals working t ...


  • Harris Health System Houston, United States

    Harris Health System is the public healthcare safety-net provider established in 1966 to serve the residents of Harris County, Texas. As an essential healthcare system, Harris Health champions better health for the entire community, with a focus on low-income uninsured and underi ...


  • Harris Health System Houston, United States

    Harris Health System is the public healthcare safety-net provider established in 1966 to serve the residents of Harris County, Texas. As an essential healthcare system, Harris Health champions better health for the entire community, with a focus on low-income uninsured and underi ...


  • PAM Health Houston, United States

    Job Description · Job DescriptionAdmissions Office Coordinator · PRN Opportunity · Interviewing now apply today · Provides admissions office support for the facility, serving as the lead support person. Manages referral, intake, verification, pre-certification, and admissions pro ...


  • Incarnate Word Academy Houston, United States

    **Supervisor**: Director of Advancement · **FLSA**: Exempt · **Salary**: Competitive · **Hours**: 40 hours per week with occasional evening and weekend work as needed. · The Special Events Manager/Volunteer Coordinator is responsible for managing and executing key fundraising and ...


  • The Brain Injury Center Houston, United States

    Our multi-specialty brain injury and neurology clinic is seeking a highly organized and detail-oriented individual to join our team as a Bilingual Medical Scheduler. In this role, you will be responsible for scheduling patient appointments, communicating with patients to gather n ...


  • Radiant Ventures Houston, United States

    At SFC Energy AG, we work together on innovative and environmentally friendly energy solutions with hydrogen and methanol fuel cells. As one of the global leaders in fuel cells, we develop, distribute, and produce portable and stationary devices for clean power generation, even i ...


  • Platinum Dermatology Partners LLC Katy, United States

    **General Duties & Responsibilities** · - Fulfill responsibilities as assigned by management. · - Extend friendly and welcoming greetings. · - Ensure paper work and EMR systems are current and correctly filled out. · - Enter medical histories and prescriptions into EMR. · - Educa ...


  • HCA Houston Healthcare Tomball Tomball, United States

    **Introduction**: · Do you have the career opportunities as a(an) Registered Nurse Case Manager PRN you want with your current employer? We have an exciting opportunity for you to join HCA Houston Healthcare Tomball which is part of the nation's leading provider of healthcare ser ...