UR COORDINATOR

The Hughes Center is a highly-structured psychiatric residential treatment facility for youth ages 10 to 22 with neurodevelopmental disorders. The Hughes Center also provides private, community-based educational services. We provide both individualized and holistic care for adolescents and young adults with intellectual and developmental disabilities in a nurturing, family-friendly environment. We utilize a multidisciplinary team approach to provide comprehensive evaluations and evidence-based treatment (and educational) interventions with the intent to increase each youth’s level of functional independence.

About the Role

Serves as provider for resident-centered services that promote coordinated, effective treatment by facilitating the communication exchange between referral source, physician/treatment team and payor and managing timely transitions through the phases of residential care.

Responsibilities

• Facilitates communication regarding resident treatment process and needs with referral sources and payor.
• Keeps accurate records of the authorizations for residents in treatment.
• Ensures coordinated effective resident care including admission, continued stays, and discharge requirements.
• Ensures positive relationships with external and internal customers.
• When appropriate, travel to resident’s community representing the facility at FAPT meetings and court hearings.
• Ensures continued availability (recertification) of financial resources throughout the residents’ stay.
• Develop systems to review and respond to concerns expressed by customers.
• Together with the appropriate Department head, works to resolve issues to satisfaction of the customer and facility.
• Review of clinical patient data with third party reviewers to substantiate the need for continued hospital level of care or ongoing participation in treatment programs.
• Communicate and coordinate third party reviewer’s level of care decisions and expectations to appropriate clinical and administrative staff.
• Assist in preparing Utilization Review Reports as necessary.
• Coordinates and makes Retrospective Appeals to third party payers.
• Meets weekly with Administrator on appropriate issues.
• Other duties as assigned based on the needs of the facility.

Requirements

• Basic understanding of and comfort level with medical terminology, residential treatment, clinical science/pathology, and psychiatric disorders.
• Ability to gather and analyze data.
• Articulate, assertive, and effective communication with families, payors, therapists, and physicians both verbally and in writing.
• Demonstrated initiative, tact, and good judgment.
• Clear understanding of treatment priorities and ability to make sound decisions balancing resident and family needs with available resources.
• Basic computer skills.

Qualifications

• Bachelor’s degree required; master’s degree preferred (Social Work, Counseling, Nursing).
• Minimum of three (3) years direct clinical experience in a psychiatric or mental health setting.
• Experience in patient assessment, family motivation, treatment planning, and communication with external review organizations or comparable entities.
• Licensure: LMHC, LPC, LMSW, LCSW, or RN preferred.

Physical Requirements

• Ability to mentally handle stressful and quick-changing situations.
• Normal auditory processing.
• Clear verbal speech with no impediments.
• 50% of time seated and talking.

Benefits

• Excellent Medical, Dental, Vision, and Prescription Drug plans
• 401(k) Retirement Plan with company match
• Life Insurance
• Flexible Spending or Health Savings Account
• Generous Paid Time Off
• Career Development Opportunities within UHS and its subsidiaries
• Challenging and Rewarding Work Environment
• Free meals
• Company stock purchase discount
• Employee Assistance Program

The Hughes Center is a drug-free and alcohol-free workplace. A pre-hire drug screen, pre-hire background checks, and education verification are required of all new employees.