Job description

Hermitage Hall (a UHS company) is one of Middle Tennessee's largest stand-alone psychiatric residential treatment Hospitals. Licensed by Tennessee Department of Mental Health and Substance Abuse Services as a mental health residential treatment center for children and youth, Hermitage Hall has provided services to families for over 30 years.

We are looking for Utilization Review Coordinator (UR) to join our team of dedicated professionals. Come help us grow and make a difference in our children's life's.+++This role requires a full background check including fingerprint, drug screen, and employment verification.

JOB SUMMARY

This position proactively monitors utilization of continuum services for residents at Hermitage Hall. He/She is responsible for concurrent, retro, and extended stay reviews as well as precertification of residents prior to admission. This position is responsible for submitting appeals and/or coordinating peer to peer reviews if continued authorization is denied. He/She actively communicates and coordinates with multiple departments regarding utilization needs. He/She facilitates and fosters positive relationships with insurance and other outside agencies. He/She works diligently to optimize reimbursement and authorized days for Hermitage Hall residents.

At the discretion of the Director of Admissions and Utilization Review, and based on the needs of the facility, this position will assist in the pre-admission and admission processes. This could include but is not limited to reviewing referral packets, communicating with referral sources, scheduling admissions, presenting program information to outside providers and guardians, and completing the Hermitage Hall admission process of residents.

This opportunity provides the following:

• 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
• Free meals

Utilization Review Coordinator Job Requirements

EDUCATION

• Minimum of a Bachelor’s Degree in the area of Counseling, Psychology, or Social Services related field or Nursing BSN or RN. Masters level preferred.

EXPERIENCE

Minimum of two years’ experience working with emotionally disturbed individuals, preferably in a residential or acute care setting. Knowledge of managed care organizations. Demonstrates understanding of third party reimbursement and processes involved; works well in prioritizing review processes within a managed care environment uses ability to interpret admission and continued stay criteria to advocate for appropriate maintenance of benefits. Demonstrates clear and consistent understanding of admission and discharge functions and can discuss current psychopathology with reviewers utilizing integrated clinical knowledge relating to diagnosis to evidenced clinical documentation. Demonstrates the ability to provide meticulous record keeping and organizational skills. Mastery computer skills. Working knowledge of spreadsheet, database, word processing programs, and internet usage.

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Medical specialties:

• Psychiatry

Physical setting:

• Hospital

Schedule:

• Monday to Friday

Supplemental pay types:

• Signing bonus

Ability to commute/relocate:

• Nashville, TN 37203: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Utilization review: 2 years (Preferred)

Work Location: In person

gatheringourvoice.org is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, gatheringourvoice.org provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, gatheringourvoice.org is the ideal place to find your next job.