UR Coordinator

Meridell Achievement Center is seeking a part-time Utilization Review (UR) Coordinator to join its Utilization Management team working three (3) weekdays (Monday-Friday) per week from approximately 8:00am-4:30pm with the ability to maintain flexibility to meet business needs. This position is located onsite and not currently subject to remote opportunities.

Meridell Achievement Center is a 134-bed private residential treatment facility that specializes in the treatment of children and adolescents who have emotional, behavioral and neurobehavioral problems. Our greatest asset is our staff, who work together to uphold the Facility's reputation for excellence in helping patients and their families resolve behavioral health problems. Meridell is a subsidiary of Universal Health Services, Inc. (UHS) one of the nation's largest and most respected health care management companies, that operates through its subsidiaries acute care hospitals, behavioral health facilities and ambulatory centers nationwide. Founded in 1978, UHS subsidiaries now have more than 95,000 employees. Our success comes from a responsive management style and a service philosophy based on integrity, competence and compassion.

The Utilization Review (UR) Coordinator is a key member of the Meridell Achievement Center (Meridell) treatment team who facilitate a continuum of service while promoting positive outcomes and optimal reimbursement, through coordination of patient care, daily clinical reviews, quality documentation, appeals, and reporting.

Job Duties/Responsibilities:

• Perform timely,daily clinical reviews with all payer types to secure authorization for continued treatment
• Function as a key member of the multidisciplinary treatment team to educate and guide on level of care requirements and payer expectations for patient acuity and appropriate utilization
• Complete quality and timely appeal/denial letters
• Participate in post claim recovery review and ongoing audit activity, supporting compliance with CMS and other regulators
• Work collectively with hospital operations (social services, business office, intake, nursing) to ensure timely documentation is aligned with patient conditions
• Contribute to monthly utilization data trends using hospital data tools to report for overall operation
• Facilitate physician reviews with payers as required
• Other duties as reasonably assigned

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
• Life Insurance, Long and Short Term Disability, and Employee Assistance Program
• Tuition Reimbursement
• A 60+ Acre Scenic Campus Setting with Sports Courts, Recreational Areas, ROPES Course, Gym, Swimming Pool and Multiple Picnic Benches
• Career Development Opportunities within UHS and its 300+ Subsidiaries

One of the nation's largest and most respected providers of hospital and healthcare services, United 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 $12.6 billion in 2021. 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. Headquartered in King of Prussia, PA, UHS has approximately 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 United States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

Requirements:

• Bachelors-prepared healthcare professional (Nursing, Counseling, Psychology or Social Work); Masters preferred.
• A minimum of 3-5 years of experience working in an acute inpatient psychiatric setting as a treatment team member and/or utilization management or a minimum of three years utilization management experience within a payer organization
• Solid understanding of acute inpatient psychiatric hospital operations, including both mental health and substance abuse treatment
• Knowledgeable in behavioral health managed care and clinical assessment skills to align patient acuity with level of care practice guidelines
• Effective oral and written communication skills to support patient advocacy
• Negotiating skills to ensure quality reviews with payers

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 our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path 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 are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449. UHS is a registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a wholly-owned subsidiary of Universal Health Services, Inc. Universal Health Services, Inc. is a holding company and operates through its subsidiaries including its management company, UHS of Delaware, Inc. All healthcare and management operations are conducted by subsidiaries of Universal Health Services, Inc. To the extent any reference to UHS or UHS facilities on this website including any statements, articles or other publications contained herein relates to our healthcare or management operations it is referring to Universal Health Services' subsidiaries including UHS of Delaware. Further, the terms "we", "us", "our" or "the company" in such context similarly refer to the operations of Universal Health Services' subsidiaries including UHS of Delaware. Any employment referenced in this website is not with Universal Health Services, Inc. but solely with one of its subsidiaries including but not limited to UHS of Delaware, Inc. UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at UHS via email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means.