Lead UR Coordinator
Phoenix, Arizona
Responsibilities
Valley Behavioral Health Hospital is seeking a dynamic and talented Lead UR Coordinator!
The Lead Utilization Review Coordinator manages utilization management data and information flow for inpatient and outpatient services; ensuring that activities are integrated and non-duplicative; oversees initial certifications and re-certifications as required; ensuring that reviews are completed in a timely manner; receiving, collecting and summarizing utilization -related data and ensuring the department is adequately staffed and trained. The UR lead assists the treatment team in understanding the insurance company's requirements for continued stay and discharge planning. The UR lead advocates for the patient's continued coverage of services during treatment team meetings and through individual physician contact. The lead coordinates peer to peer reviews with their attending physicians schedule to advocate for continued stay. The Lead will continue to obtain authorization after patient discharges through retro authorizations and denial appeals timely.
Website: https://valleyhospital-phoenix.com/
Location: 3550 East Pinchot Avenue, Phoenix, AZ
Schedule: Monday - Friday
Additional Information:
Qualifications:
Education: Master's degree from an accredited college or university in social work, mental health, nursing, or related degree preferred.
Experience: A minimum of three (3) years-experience in a healthcare setting or managed care company, with experience in patient assessment, treatment planning, utilization management, and/or case management.
Licensure: L.M.S.W., LPC, or other healthcare - related licensure preferred. Additional Requirements: Valid CPR card upon hire. Successful completion of Management of Aggressive Behavior (HWC) including restraint and seclusion policies, within 30 days of employment, and prior to assisting in restraining procedures.
Hospital is a 122-bed psychiatric hospital located in Phoenix, Arizona. Valley Hospital provides patient-centered care delivered by compassionate staff trained in the mental health and chemical dependency fields. Valley features individual units for adults and offers inpatient acute care and intensive outpatient programs. We offer specialty programs including crisis stabilization, rehabilitation support in maintaining sobriety, and a women's program to promote hope and healing. Valley Hospital is built on three core principles, outstanding care, compassionate people and unparalleled service.
A hospital is only as good as its employees. That's why we're looking for professionals who are dedicated and passionate about their work. We're looking for employees who can add to our culture of exemplary patient care and personal excellence. We're looking for exceptional professionals who share our vision and values.
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 $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 Ricco and the United Kingdom.
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.com or 1-800-532-3449
#behavioralhealth #utilizationreview #ur
Valley Behavioral Health Hospital is seeking a dynamic and talented Lead UR Coordinator!
The Lead Utilization Review Coordinator manages utilization management data and information flow for inpatient and outpatient services; ensuring that activities are integrated and non-duplicative; oversees initial certifications and re-certifications as required; ensuring that reviews are completed in a timely manner; receiving, collecting and summarizing utilization -related data and ensuring the department is adequately staffed and trained. The UR lead assists the treatment team in understanding the insurance company's requirements for continued stay and discharge planning. The UR lead advocates for the patient's continued coverage of services during treatment team meetings and through individual physician contact. The lead coordinates peer to peer reviews with their attending physicians schedule to advocate for continued stay. The Lead will continue to obtain authorization after patient discharges through retro authorizations and denial appeals timely.
Website: https://valleyhospital-phoenix.com/
Location: 3550 East Pinchot Avenue, Phoenix, AZ
Schedule: Monday - Friday
Additional Information:
- Challenging and rewarding work environment
- Competitive Compensation and Generous Paid Time Off
- Excellent Medical, Dental, Vision and Prescription Drug Plans
- 401(K) with company match and discounted stock plan
- Career development opportunities within UHS and its 300+ Subsidiaries!
Qualifications:
Education: Master's degree from an accredited college or university in social work, mental health, nursing, or related degree preferred.
Experience: A minimum of three (3) years-experience in a healthcare setting or managed care company, with experience in patient assessment, treatment planning, utilization management, and/or case management.
Licensure: L.M.S.W., LPC, or other healthcare - related licensure preferred. Additional Requirements: Valid CPR card upon hire. Successful completion of Management of Aggressive Behavior (HWC) including restraint and seclusion policies, within 30 days of employment, and prior to assisting in restraining procedures.
Hospital is a 122-bed psychiatric hospital located in Phoenix, Arizona. Valley Hospital provides patient-centered care delivered by compassionate staff trained in the mental health and chemical dependency fields. Valley features individual units for adults and offers inpatient acute care and intensive outpatient programs. We offer specialty programs including crisis stabilization, rehabilitation support in maintaining sobriety, and a women's program to promote hope and healing. Valley Hospital is built on three core principles, outstanding care, compassionate people and unparalleled service.
A hospital is only as good as its employees. That's why we're looking for professionals who are dedicated and passionate about their work. We're looking for employees who can add to our culture of exemplary patient care and personal excellence. We're looking for exceptional professionals who share our vision and values.
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 $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 Ricco and the United Kingdom.
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.com or 1-800-532-3449
#behavioralhealth #utilizationreview #ur
Created: 2024-09-08
Reference: 275830
Country: United States
State: Arizona
City: Phoenix
ZIP: 85008
About UHS
Founded in: 1979
Number of Employees: 89000
Website: https://uhs.com/
Career site: https://jobs.uhs.com/careers/
LinkedIn: https://www.linkedin.com/company/uhs