Ur Coordinator

Responsibilities

River Oaks Hospital (a UHS affiliated hospital), located in metropolitan New Orleans, Louisiana, is a private psychiatric facility for adults, adolescents and children. Since 1970, River Oaks has established a tradition of excellence in the treatment of acute psychiatric illness, dual diagnosis, alcohol and drug detoxification, trauma based disorders, compulsive behaviors, and eating disorders. River Oaks has provided quality treatment to service individuals suffering from mental illness, and/or addictive disorders.

River Oaks Hospital is seeking a dynamic and talented UTILIZATION REVIEW COORDINATOR who evaluates patient medical records to determine severity of patient’s illness and the appropriateness of level of care. Serves as liaison for patients and facility with insurance companies. Negotiates and advocates for patient length of stay and level of care. Coordinates utilization review activities with other departments to ensure reimbursement for services provided by the facility.

Promotes patient care consistent with the philosophy and objectives of River Oaks Hospital. Performs duties in accordance with the ANA Standards of Practice for Psychiatric Mental Health Care, and facility mission, values, policies, and behavioral standards.

MINIMUM QUALIFICATIONS

REQUIRED:

• Experience:
  
  3-5 years of experience working in an acute inpatient psychiatric setting as a treatment team member and/or utilization management, or a minimum of three years utilization management experience within a payer organization.
• Education:
  
  Bachelors prepared healthcare professional (Nursing, Counseling, Psychology or Social Work) Masters Preferred.
• Utilization Review experience highly preferred.
• Working Knowledge:
  Possesses knowledge of psychiatric care, utilization review, insurance reimbursement procedures, DSM-V, etc. Current knowledge of regulating /accrediting agency guidelines. Basic knowledge of statistical analysis desired.
• Treat Everyone As a Guest
• Demonstrate Professionalism and Excellence in all things I do.
• Practice Teamwork
• Excellent Communication skills!

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.

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.

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