Utilization Review - Behavioral Health

Utilization Review Coordinator Peachford Hospital is searching for a talented Utilization Review (UR) Coordinator with experience in behavioral health to work with our Utilization Review Team to promote continued length of stay for our patients. What Role Will You Play? UR Coordinators proactively monitor the utilization of services and optimize reimbursement for the patient and the hospital. Having an understanding and an ability to communicate insurance information to team members, including benefits and levels of care offered, will help to make you successful in this role. Please Note: This position is on-site. Remote work options are not available. This position is not a nursing-based role and does not require an RN license. What Is It Like to Work at Peachford? Utilization Review Coordinators at Peachford are empowered to advocate for our patients using their own personal style, while reviewing our efforts to provide superior quality care with others. If you like a challenge and the satisfaction of working with other professionals to get patients the help they need, Peachford is the right place for you. Our hospital has a strong, seasoned leadership team, with plenty of mentoring and coaching opportunities for advancement for to anyone interested in growing their career. Our patients present us with clinical challenges and high acuity illnesses and they require superior care. We balance that with a strong commitment to teamwork and a sense of humor that makes Peachford a challenging, yet fun place to work. While taking care of our patients, we also strive to take care of each other. What Will You Get To Do? UR Coordinators are responsible for completing the following duties and tasks: • Lead and participate in the operations of daily inter-disciplinary treatment teams to gain knowledge of patient needs and progress. • Conduct length of stay reviews on assigned patients with third party payers. • Prepare and submit appeals to third party payers, to support continued length of stay based on the hospital and patient’s position. • Work directly with Assessment and Referral Services to stay abreast of admissions and/or pending authorizations. • Communicate pertinent third party payer issues to doctor and treatment team. Work independently in gathering information for reviews from the patient record, taking the initiative to seek information from members of the treatment team. What Does Peachford Require for this Role? A bachelor’s degree and at least two years utilization management experience in a behavior health or addictive disease facility is required. Relevant work experience may be substituted for the educational requirements. Wait! There’s More…. Peachford Hospital offers full time employees a comprehensive benefits package including: • Health, Dental and Vision Plans • 23-days of Paid Time Off • Pet insurance • 401k Retirement Plan with company match • Tuition Reimbursement • Short Term and Long Term Disability • Life Insurance • What Happens Next? After you submit your resume, a member of our recruiting team will review your qualifications and experience. If we are interested in scheduling an interview, someone will give a you call. Peachford Hospital: Bringing Life Into Balance. Peachford Hospital is one of the largest behavioral health and addictive disease treatment facilities in the country and has been providing compassionate care to children, adolescents, adults and seniors since 1973. Located in the beautiful Dunwoody neighborhood of Atlanta, Peachford offers inpatient acute care, as well as partial hospitalization and intensive outpatient programs. For more information on our hospital, follow us on online: • https://www.linkedin.com/company/peachford-behavioral-health • www.peachford.com 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. Job Type: Full-time Benefits: • 401(k) • 401(k) matching • Dental insurance • Employee assistance program • Flexible spending account • Free parking • Health insurance • Health savings account • Life insurance • Paid time off • Referral program • Tuition reimbursement • Vision insurance Application Question(s): • This job does not require or pay at the RN level. Are you a Registered Nurse? Work Location: In person Apply Job!