Utilization Review Specialist

Rockford Center is searching for a talented and patient centric Utilization Review Specialist.

Rockford Center is a 138-bed mental health facility located in Newark, DE, providing easy access to a full complement of inpatient and partial behavioral health programs for children and adolescents, adults, and older adults. Rockford is the only child inpatient behavioral health facility in DE, offers an experienced and tenured senior management team, and serves New Castle County and northern Maryland.

Visit us online: https://rockfordcenter.com/

Key Responsibilities include:

• Completes pre-certs and concurrent reviews as assigned, on appropriate day and by the specified time.
• Completes write-ups on new admissions and step-downs/step-ups as assigned, along with the “Change Level of Care” form when applicable.
• Communicates with ARC to gather pre-cert information for new admissions as needed.
• Enters authorizations into the MIDAS by the end of each business day.
• Participates in daily treatment teams: communicates pertinent payor
• information, requests, or concerns; gathers information needed for reviews, and facilitates the signing of Medicare forms when applicable.
• Takes initiative to independently gather additional information for reviews as needed.
• Calls in discharge information to payor by the end of the business day following discharge, or on day of discharge as required by some payors.
• Signs patient treatment plans.
• Communicates to the Director of UR any unplanned or cancelled discharges, denied days, reasons given for underutilized days, and/or any payor-related problems.
• Facilitates physician reviews promptly when a case is denied.
• Maintains and updates appropriate records of the UR Department, including UR Worksheets and treatment team notes.

Benefits for a Utilization Review Specialist include:

• Challenging and rewarding work environment
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match and discounted stock plan
• SoFi Student Loan Refinancing Program
• Career development opportunities within UHS and its 300 Subsidiaries!
• Tuition Assistance

One of the Nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, our annual revenues were $10.77 billion in 2018. In 2020, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; in 2019, ranked #293 on the Fortune 500; and in 2017, listed #275 in Forbes inaugural ranking of America’s Top 500 Public Companies. Headquartered in King of Prussia, PA, UHS has more than 87,000 employees and through its subsidiaries operates 26 acute care hospitals, 327 behavioral health facilities, 40 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 37 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.

Job Requirements:

• Education: Master’s prepared Social Worker or Licensed Registered Nurse

• Experience: Previous experience in Behavioral Health preferred, but not required.

• Additional Requirements: CPR certification and Completion of Handle With Care training within 90 days of employment.

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.

Notice

At UHS and all subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates with matching skillset and experience with the best possible career at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail etc. If you feel suspicious of a job posting or job-related email, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449

Job Type: Full-time

Pay: $56,160.00 - $75,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

COVID-19 considerations:
Everyone is required to wear a mask in the Hospital.

Education:

• Master's (Preferred)

License/Certification:

• Master’s prepared Social Worker or Licensed Registered Nurse (Required)

Work Location: One location