What are the responsibilities and job description for the Director of Utilization Review position at Universal Health Services?
Responsibilities
HRI Hospital is looking for a Director of Utilization Review to join our team full time.
Key Responsibilities include:
- Conducts admission reviews working with Assessment and Referral Center to stay abreast of admissions
- Monitors Medicare cases for compliance with CMS standards through concurrent audits.
- Complete Medicare report for data reporting to management team and corporate
- Prepares and submits appeals to third party payors, effectively coordinating collection of all pertinent data to support the hospital and patient's position
- Maintains and updates logs of review and maintain other appropriate records of the Utilization Review department
- Remains current on applicable UR trends and regulations and reviews current policies and procedures for compliance
- Performs personnel management duties
Qualifications
Job Requirements:
- Master's Degree in Social Work, Psychology or related field
- RN license preferred
- Previous experience working in a behavioral health setting preferred
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
