Utilization Review Manager - Home Care jobs in Mississippi

Utilization Review Manager - Home Care ensures quality and level of care for patients are up to established standards and comply with federal, state, and local regulations. Investigates and resolves reports of inappropriate care. Being a Utilization Review Manager - Home Care may require a bachelor's degree. Typically reports to a head of a unit/department. To be a Utilization Review Manager - Home Care typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2024 Salary.com)

I
Utilization Review Case Manager - Part-time
  • ignoredontpost
  • Branch, MS PART_TIME
  • Responsibilities:
    Parkwood Behavioral Health System (a UHS facility):

    Parkwood Behavioral Health System provides behavioral health and chemical dependency services to the Mid-South region and has been in business since 1987. We are located in Desoto County, in the northwest corner of Mississippi and approximately 7 miles south of Memphis.

    As treatment options and patient care innovations have continued to become available we strive to provide the highest level of quality care to our patients. At Parkwood, our caring staff focus on providing compassionate care to meet the needs of individuals, families and communities.

    We offer a full continuum of care that provides treatment options to meet the individual needs of adults, adolescents and children. Parkwood Behavioral Health System includes a 148-bed inpatient acute and residential care facility, as well as partial hospitalization and intensive outpatient programs.

    For more information about Parkwood Behavioral Health System, please visit our website at https://parkwoodbhs.com/

    Utilization Review Case Manager
    Part-time
    • Monday - Friday (flexible days)
    • Flexible Hours
    The Case Manager provides utilization review services in a manner consistent with the philosophy and objectives of the facility. The Case Manager evaluates patient medical records to determine severity of patient’s illness and determines the appropriateness of level of care. Serves as liaison for patients and hospital with insurance companies. Negotiates and advocates for patient length of stay and level of care. Oversees utilization review activities with other departments to ensure reimbursement for services provided by the hospital.
    Qualifications:
    Education:
    Bachelor degree in Nursing or human services field preferred

    Experience
    :
    Minimum of 2 years clinical experience and 1 year of management experience with case management and the utilization review process including concurrent reviews. Previous continuum of care experience highly preferred.

    Licensure/Certification
    :
    LPN or RN preferred

    Skills
    :
    Prefer knowledge of case management, discharge planning, age specific growth and development, crisis and behavior management.


    Benefit Highlights:
    • Challenging and rewarding work environment
    • Career development opportunities within UHS and its Subsidiaries
    • Competitive Compensation
    • Excellent Medical, Dental, Vision and Prescription Drug Plan
    • 401(K) with company match and discounted stock plan
    • Generous Paid Time Off


    Universal Health Services (UHS)

    One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $11.6 billion in 2020. In 2021, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; in 2020, ranked #281 on the Fortune 500; and listed #330 in Forbes ranking of U.S.’ Largest Public Companies. Headquartered in King of Prussia, PA, UHS has 89,000 employees and through its subsidiaries operates 26 acute care hospitals, 334 behavioral health facilities, 39 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 38 U.S. states, Washington, D.C., Puerto Rico 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 its 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. Additionally, 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 our Compliance Hotline at: https://uhs.alertline.com or 1-800-852- 3449.
  • 18 Days Ago

O
Utilization Review Coordinator
  • Oceans Healthcare
  • Jackson, MS FULL_TIME
  • Oceans Healthcare will expand behavioral health services in Jackson, opening fall 2024. Oceans Healthcare of Jackson, a 77-bed facility will expand inpatient capacity for adult and senior behavioral h...
  • Just Posted

O
Utilization Review Coordinator
  • Oceans Healthcare
  • Biloxi, MS FULL_TIME
  • The Utilization Review Coordinator is responsible for management of all utilization review and case management activities for the facility’s inpatient, partial hospitalization, and outpatient programs...
  • 6 Days Ago

A
Case Management/Utilization Review/Discharge Planner
  • ALLEGIANCE SPECIALTY HOSPITAL OF GREENVILLE LLC
  • Greenville, MS FULL_TIME
  • Description Job Summary:cost effective care through ongoing monitoring and communication with patient, physicians, and care givers.Requirements Regulatory Requirements:Current Licensed Practical Nurse...
  • 18 Days Ago

F
Case Management/Utilization Review/Discharge Planner
  • Freedom Behavioral Hospital of Greenville
  • Greenville, MS FULL_TIME
  • Job Summary: Assesses, plans, implements, and evaluates the needs of patients. The LPN case manages is responsible to evaluate each admission to determine if InterQual criteria for severity of illness...
  • 18 Days Ago

A
Utilization Review Specialist - Bachelor's Social Work License
  • Acadia Behavioral Health (Pioneer Behavioral Health)
  • Magee, MS FULL_TIME
  • Employment Type: Full-Time Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concer...
  • 18 Days Ago

A
Director Utilization Management
  • AMI Network
  • San Diego, CA
  • I’m partnered with a major health plan in San Diego to find a Director of Utilization Management! This top-rated Medicai...
  • 3/28/2024 12:00:00 AM

C
Utilities Manager
  • City of Upland, CA
  • Upland, CA
  • Salary : $124,287.53 - $158,625.88 Annually Location : Public Works - 1370 N. Benson Ave Upland, CA Job Type: Full Time ...
  • 3/28/2024 12:00:00 AM

C
Utilities Manager (At-Will)
  • City of Rialto, CA
  • Rialto, CA
  • Salary : $116,448.00 - $156,060.00 Annually Location : Rialto, CA Job Type: Full-Time Job Number: 23-072 Department: RUA...
  • 3/28/2024 12:00:00 AM

T
Maintenance and Utilities Manager
  • The Judge Group
  • Somerset, NJ
  • Do you love candy and snacks? Are you looking to join an ever evolving and rapidly growing team? PIM Brands might just b...
  • 3/28/2024 12:00:00 AM

T
Utilization Management Assistant
  • Trinity Health
  • Des Moines, IA
  • Employment Type: Full timeShift: Description: GENERAL SUMMARY: Under general supervision, the Utilization Management Ass...
  • 3/28/2024 12:00:00 AM

P
Utility Manager
  • Prairie Band Potawatomi Nation
  • Mayetta, KS
  • Tier: 2 Department: Administration Supervisor: General Manager of Operations Location: 16281 Q Road, Mayetta KS 66509 Pa...
  • 3/25/2024 12:00:00 AM

H
Utility Management Consultant
  • HDR, Inc.
  • Charlotte, NC
  • Qualifications and Experience * BS in Civil or Environmental Engineering or a related technical discipline required. * M...
  • 3/25/2024 12:00:00 AM

H
Utilization Management Coordinator
  • Hackensack Meridian Health
  • Point Pleasant Beach, NJ
  • Description: Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients ...
  • 3/25/2024 12:00:00 AM

Mississippi is bordered to the north by Tennessee, to the east by Alabama, to the south by Louisiana and a narrow coast on the Gulf of Mexico; and to the west, across the Mississippi River, by Louisiana and Arkansas. In addition to its namesake, major rivers in Mississippi include the Big Black River, the Pearl River, the Yazoo River, the Pascagoula River, and the Tombigbee River. Major lakes include Ross Barnett Reservoir, Arkabutla Lake, Sardis Lake, and Grenada Lake with the largest lake being Sardis Lake. Mississippi is entirely composed of lowlands, the highest point being Woodall Mountai...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Manager - Home Care jobs
$67,811 to $86,455