Job description
Responsibilities
Foundations Behavioral Health provides innovative behavioral health treatment and academic excellence to children, adolescents and young adults. Established in 1964, Foundations Behavioral Health provides treatment in a homelike environment located on a 12-acre campus in Bucks County, PA. Foundations provides a full continuum of care for children, adolescents, and young adults spanning hospitalization to outpatient and academic services.
We are currently seeking a full time UM Coordinator to support our UM Department in Doylestown, PA. The Utilization Management Coordinator is responsible for all utilization management activities for assigned cases from admission through discharge, including peer reviews and appeals, in accordance with the Utilization Review Plan, for patient population ages 5 years through 21 years, with significant behavioral health needs and Autism Spectrum Disorders or other developmental disorders. The Utilization Review Coordinator provides support to the program and treatment team in focus and documentation of medical necessity and timely discharge planning. Maintains data on utilization management activities and generates required reports, logs, and files as requested. Reviews the quality of documentation in the patient record to assure accuracy and to determine that medical necessity criteria is met for the current level of care. Assures timely discharge planning, and assists with identification of discharge resources and obtains prior authorization for the next level of care or medication when indicated. Facilitates and fully documents physician peer-to-peer reviews, and prepares and submits written appeals in response to denial of initial or continued stay certification. Internally, the UM Coordinator will interface with hospital management, staff, and patients. Externally, the UM Coordinator will interface with licensing and accrediting agencies, managed care companies, family members, and healthcare treatment agencies.
Benefit Highlights:
- 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 Reimbursement
Candidates must apply directly on our website at
www.fbh.com
(click CAREERS tab for openings)
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 over $11 billion in 2020. In 2021, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of U.S.’ Largest Public Companies. Headquartered in King of Prussia, PA, UHS has over 89,000 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. www.uhsinc.com
All of 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 characteristics protected by federal, state or local laws. In response to the current pandemic, Respiratory Fit testing is a requirement of the job.
We believe that diversity and inclusion among our teammates is critical to our success.
Qualifications
BASIC QUALIFICATIONS:
Must has a master’s degree in social work, counseling, or a related field. Must have a minimum of two years of experience in a psychiatric setting, preferably inpatient or residential, or experience working in managed care.
www.arclintfl.com 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, www.arclintfl.com 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, www.arclintfl.com is the ideal place to find your next job.