UM Manager

One of the nation's largest and most respected hospital companies, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Steadily growing from a startup to an esteemed Fortune 500 corporation, UHS today has annual revenue nearing $10 billion. In 2017, UHS was recognized as one of the World's Most Admired Companies by Fortune; ranked #276 on the Fortune 500, and listed #275 in Forbes inaugural ranking of America's Top 500 Public Companies.

Our operating philosophy is as effective today as it was 40 years ago: Build or acquire high quality hospitals in rapidly growing markets, invest in the people and equipment needed to allow each facility to thrive, and become the leading healthcare provider in each community we serve.

Headquartered in King of Prussia, PA, UHS has more than 81,000 employees and through its subsidiaries operates more than 320 acute care hospitals, behavioral health facilities and ambulatory centers in the United States, Puerto Rico, the U.S. Virgin Islands and the United Kingdom.

Dover Behavioral Health is a mental health facility located in Dover, DE. Our treatment center provides mental health and addiction treatment services to individuals from Delaware, Maryland, and most other states throughout the US. Our experienced, caring professionals are the heart of what we do, providing superior inpatient and outpatient behavioral healthcare services for adolescents and adults. We provide consistent attention to our patients and are responsive to their individual needs. Our treatment programs are tailored to the needs of each patient and are developed and implemented through a collaborative, multidisciplinary approach that combines the skill and expertise of our healthcare professionals. All who turn to us for assistance will find a helping hand and a compassionate heart.

Dover Behavioral Health System is seeking a Per Diem Utilization Review Coordinators. The incumbent will be responsible for proactively monitoring utilization of continuum services and optimize reimbursement. The employment status is Per Diem with shifts available as needed in a Monday-Friday 8:00am - 4:30pm environment.

Key Responsibilities include:

• Conduct admission reviews working with Assessment and Referral Services to stay abreast of admissions.
• Conduct concurrent and extended stay reviews on appropriate day and/or specified time.
• Prepare and submit appeals to third party payors, effectively coordinating collection of all pertinent data to support the hospital and patient's position.
• Call/fax discharge information to insurance companies within 24 hours of discharge to ensure the facility is paid for the hospital stay.
• Maintain and update logs of review and maintain other appropriate records of the Utilization Review department.
• Communicate pertinent third party payors issues to doctor and treatment team.
• Attend daily treatment team meetings to discuss acuity issues, third party payors needs and gather information for reviews.
• Work independently in gathering information for reviews from the patient record, taking the initiative to seek information from members of the treatment team.
• Understand and communicate insurance information to team members, including benefits and levels of care offered.
• Perform internal utilization reviews as indicated.
• Prepare any reports assigned or requested by COO.
• Identify, document, and report any and all instances of adult or child abuse and neglect to the appropriate parties including a member of management, the police, and state agencies

MSW or MS in a recognized mental health field or Registered Nurse, a minimum of one year experience in case management and/or hospital experience.