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UTILIZATION COORDINATOR

Alan B. Miller Medical Center

Utilization Management Coordinator

Compass Intervention Center is seeking a dynamic and talented Utilization Management Coordinator. Our mission is to provide superior behavioral healthcare services that patients recommend to family and friends; physicians choose for their patients; purchasers select for their clients; and employees are proud of. Compass Intervention Center believes and applies the following principles: service excellence, continuous improvement in measurable ways, employee development, ethical and fair treatment of all, teamwork, compassion, and innovation in service delivery.

The Utilization Management Coordinator will possess knowledge of psychiatric clinical diagnosis and the ability to articulate those indicators professionally. The Utilization Management Coordinator evaluates client medical records to determine severity of client's illness and determining the appropriateness of level of care. Serves as liaison for clients and facility with insurance companies. Negotiates and advocates for client length of stay and level of care. Oversees utilization management activities with other departments to ensure reimbursement for services provided by the facility. The UM Coordinator has a working knowledge of all levels of care offered and appropriately manages client benefits.

Key responsibilities include:

  • Performing job duties successfully
  • Managing client medical records
  • Liaising with insurance companies
  • Negotiating client care levels
  • Ensuring reimbursement for services

Qualifications:

  • MA/MSW or RN highly preferred / Bachelor's degree in social science required
  • Prior experience working with a psychiatric mental health population, preferably in an inpatient setting
  • Valid TN RN license, LCSW, or LPC preferred
  • Knowledge of health information management and health care delivery systems, medical and psychiatric terminology, confidentiality and release of information laws, leadership skills and various computer and word processing programs

This opportunity provides:

  • Challenging and rewarding work environment
  • Growth and development opportunities within UHS and its subsidiaries
  • Competitive compensation
  • Excellent medical, dental, vision and prescription drug plan
  • 401k plan with company match
  • Generous paid time off

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 $15.8 billion in 2024. UHS was again recognized as one of the World's Most Admired Companies by Fortune; listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 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 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.

Avoid and Report Recruitment Scams:

We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information. At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

Alan B. Miller Medical Center
Vacancy posted 2 days ago
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