Responsibilities:
Rockford Center is searching for a talented and patient centric Utilization Review Specialist.
Rockford Center is a 138-bed mental health facility located in Newark, DE, providing easy access to a full complement of inpatient and partial behavioral health programs for children and adolescents, adults, and older adults. Rockford is the only child inpatient behavioral health facility in DE, offers an experienced and tenured senior management team, and serves New Castle County and northern Maryland.
Visit us online: https://rockfordcenter.com/
Key Responsibilities include:
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Completes pre-certs and concurrent reviews as assigned, on appropriate day and by the specified time.
- Completes write-ups on new admissions and step-downs/step-ups as assigned, along with the “Change Level of Care” form when applicable.
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Communicates with ARC to gather pre-cert information for new admissions as needed.
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Enters authorizations into the MIDAS by the end of each business day.
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Participates in daily treatment teams: communicates pertinent payor
information, requests, or concerns; gathers information needed for reviews, and facilitates the signing of Medicare forms when applicable. -
Takes initiative to independently gather additional information for reviews as needed.
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Calls in discharge information to payor by the end of the business day following discharge, or on day of discharge as required by some payors.
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Signs patient treatment plans.
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Communicates to the Director of UR any unplanned or cancelled discharges, denied days, reasons given for underutilized days, and/or any payor-related problems.
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Facilitates physician reviews promptly when a case is denied.
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Maintains and updates appropriate records of the UR Department, including UR Worksheets and treatment team notes.
Benefits for a Utilization Review Specialist include:
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Challenging and rewarding work environment
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Competitive Compensation & Generous Paid Time Off
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Excellent Medical, Dental, Vision and Prescription Drug Plans
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401(K) with company match and discounted stock plan
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SoFi Student Loan Refinancing Program
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Career development opportunities within UHS and its 300 Subsidiaries!
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Tuition Assistance
One of the nation's largest and most respected hospital companies, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Steadily growing from a startup to an esteemed Fortune 500 corporation, UHS today has annual revenue nearing $10 billion. In 2017, UHS was recognized as one of the World's Most Admired Companies by Fortune; ranked #276 on the Fortune 500, and listed #275 in Forbes inaugural ranking of America's Top 500 Public Companies. Our operating philosophy is as effective today as it was 40 years ago: Build or acquire high quality hospitals in rapidly growing markets, invest in the people and equipment needed to allow each facility to thrive, and become the leading healthcare provider in each community we serve. Headquartered in King of Prussia, PA, UHS has more than 81,000 employees and through its subsidiaries operates more than 320 acute care hospitals, behavioral health facilities and ambulatory centers in the United States, Puerto Rico, the U.S. Virgin Islands and the United Kingdom.
Qualifications:
Job Requirements:
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Education: Master’s prepared Social Worker or Licensed Registered Nurse
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Experience: Previous experience in Behavioral Health preferred, but not required.
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Additional Requirements: CPR certification and Completion of Handle With Care training within 90 days of employment.
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 subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates with matching skillset and experience with the best possible career 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 feel suspicious of a job posting or job-related email, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449