Utilization Management Coordinator
About the role
Dover Behavioral Health System is a 104-bed, acute care psychiatric hospital located in the beautiful Dover, Delaware area. Dover Behavioral Health System features individual units for adolescents and adults and offers inpatient acute care, partial hospitalization, and intensive outpatient programs. On average, over 10,000 patients receive care from our compassionate health care team each year at Dover Behavioral Health System. This opportunity offers working at a hospital known for its outstanding patient satisfaction, including ranking 6th for highest patient satisfaction in 2020 compared to over 200+ psychiatric hospitals. We attribute this success to our talented and dedicated staff. We are the best at what we do! Dover Behavioral Health system is seeking qualified candidates for our Utilization Management Coordinator - Full-Time position. In this role, you will proactively monitor utilization of continuum services and optimize reimbursement.
Responsibilities
- Conduct admission reviews in collaboration with Assessment and Referral Services to ensure up-to-date admissions information.
- Perform concurrent and extended stay reviews at appropriate intervals.
- Prepare and submit appeals to third-party payors, collecting necessary data for hospital and patient support.
- Ensure timely communication of discharge information to insurance companies within 24 hours, and maintain updated logs and records for the Utilization Review department.
Minimum Qualifications
MSW or MS in a recognized mental health field or a Registered Nursing License. One (1) year experience in case management and/or hospital experience.
Preferred Qualifications
One (1) year experience as a Utilization Management Coordinator at a long-term care facility.
About the Parent Company
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. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. 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.uhs.com