Utilization Review Coordinator - Behavioral Health - PRN
Coastalharbor
Responsibilities Coastal Harbor Health is currently seeking a Utilization Review Coordinator Per Diem to coordinate and direct utilization review functions, monitoring the utilization and continuum of services to optimize reimbursement. Coastal Harbor Health System is comprised of a 114‑bed hospital for children and adolescents, providing both short‑ and long‑term inpatient care, and a 50‑bed inpatient hospital serving men and women, ages 18 and up. We offer compassionate patient care to those who need it the most, serving not only local patients, but also those located across the country. Our hospitals are conveniently located in beautiful, historic Savannah, GA in a quiet setting that provides unparalleled anonymity and privacy, enabling patients to concentrate on treatment. Job Duties / Responsibilities Perform the utilization and review process, for continued stay, in an appropriate and timely manner. Maintain appropriate records of the review process for the purpose of preparing and submitting appeals to third‑party payors. Respect the confidentiality of patient and employee information. Supervise the reception of requests for information from medical records of patients in person, by mail or phone, from various sources from the community at large, and assure that authorizations are properly executed (according to HIPAA guidelines, federal, and state laws) for these requests for client information. Perform other duties related to the department as necessity dictates. Benefit Highlights Challenging and rewarding work environment Competitive compensation, Paid Time Off Excellent Medical, Dental, Vision and Prescription Drug Plans 401(k) with company match and discounted stock plan About Universal Health Services Qualifications Possess a degree in nursing, psychology, or other appropriate/related field. Masters degree required; Licensed or Licensed eligible. One to Two years related experience and/or training preferred. Must have some management experience with a demonstrated leadership ability and skills to write reports and communicate effectively. 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. #J-18808-Ljbffr
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$20 - $30 per hour
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DescriptionVAD Coordinator - Heart Failure / LVAD - Mount Sinai Hospital... ...3.Acts as a patient advocate utilizing Patient Bill of Rights.4.... ...Collaborates with other members of the health care team in the development, implementation and ongoing review of policies, procedures and...Full timeTraineeshipLocal area- Licensed Practical Nurse (LPN) Behavioral Health Schedule : Varied Shifts - PRN More about our team Join the Behavioral Health Unit (BHU) team, where we’re growing together! Our 12-bed unit provides adult, acute behavioral health treatment. With plans to expand the service...ReliefFull timeTemporary workPart timeShift work
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...Supervisor, Utilization Management Pharmacist Charlotte, North Carolina, United States;... ..., New York, United States About Judi Health Judi Health is a health technology company... ..., and pharmacists, prior authorization reviews, and clinical programs outreach....Local areaRemote workFlexible hoursNight shift- Inspire health. Serve with compassion. Be the difference... ...intervention that is coordinated and integrated with... ...with the chart review audit components. Documents... ...medical terminology are utilized. Attends staff... ...Consistently demonstrates behaviors that support the purpose...ReliefInternshipShift work
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