Utilization Review Coordinator

Overview

The Psychiatric Institute of Washington is a 152-bed facility with inpatient, outpatient and partial hospitalization programs. Excellence in behavioral health programs for children, adolescents and adults has been the mission of The Psychiatric Institute of Washington since it opened nearly 50 years ago. Our team has a reputation for providing innovative treatment and care in a free-standing psychiatric facility in Washington, DC.

We strive for excellence and provide patients with hope for a brighter future.

• Tracks new admissions or transfers to assigned area and follows through with certification requirements from admission through discharge. Serves as liaison to on-site external reviewers.
• Uses Midas for recording reviews and tracking denials. Adds to Midas databases as needed.
• Teaches staff to document medical necessity through in-services or individual meetings. Monitors quality of records and notifies staff and program director of problems. Available to program director to develop a plan for improvement as needed.
• Supports and guides treatment planning as needed. Ensures documentation flows from and correlates with the treatment plan.
• Informs department director of changes in managed care companies. Maintains awareness of status to propose out-of-plan benefits or to open the door to increased opportunities to provide services to a larger group.
• Works professionally with all staff and demonstrates a supportive attitude toward the goals of the hospital. Makes recommendations for the hospital based on identified trends.
• Arranges schedule in consideration of department needs, participates in arranging coverage for planned absences and maintains a supportive attitude toward department goals.
• Performs other job-related duties as assigned.

• Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match and discounted stock plan
• UHS employee discounted stock option plan
• Tuition Reimbursement and Student Loan Repay Program
• Employee Assistance Program (EAP)
• Life Insurance and Disability Insurance
• Flexible Spending Account
• Pre-tax Metro Smart Trip Benefits
• Career development opportunities within UHS and its 300+ subsidiaries

• Bachelor’s degree in applicable field of study required
• Six months psychiatric utilization review experience (hospital or external review organization) preferred
• Candidates must meet the company’s hiring criteria, including pre-employment verifications, background investigation, and drug test

PIW requires its staff to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, or religious belief that prevents them from being vaccinated.

PIW participates in E-Verify. We will provide the Social Security Administration, and if necessary the Department of Homeland Security, with information from each new employee’s Form I-9 to confirm work authorization. This information is not used to pre-screen job applicants.

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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