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PRN Utilization Review Coordinator - Behavioral Health

Coastal Harbor Health System
Savannah, GA Full Time
POSTED ON 2/12/2025
AVAILABLE BEFORE 4/12/2025

Utilization Review Coordinator

Coastal Harbor Health System is comprised of a 145-bed hospital for children and adolescents, providing both short- and long-term inpatient care, and a 50-bed inpatient hospital serving men and women, ages 18 and up. We offer compassionate patient care to those who need it the most, serving not only local patients, but also those located across the country.

Our hospitals are conveniently located in beautiful, historic Savannah, GA in a quiet setting that provides unparalleled anonymity and privacy, enabling patients to concentrate on treatment.

Website: coastalharbor.com

The Utilization Review Coordinator organizes and directs all Utilization Review functions, monitoring the utilization and continuum of services to optimize reimbursement, as well as supervises the reception of requests for information from medical records of patients and assures that authorizations are properly executed.

Job Duties/Responsibilities:

  • Perform the utilization and review process, for continued stay, in an appropriate and timely manner
  • Maintain appropriate records of the review process for the purpose of preparing and submitting appeals to third party payors; respect the confidentiality of patient and employee information.
  • Supervise the reception of requests for information from medical records of patients in person, by mail or phone, from various sources from the community at large, and assure that authorizations are properly executed (according to HIPAA guidelines, federal, and state laws) for these requests for client information

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
  • Career development opportunities within UHS and its 300 Subsidiaries!
  • More information is available on our Benefits Guest Website: benefits.uhsguest.com

About Universal Health Services

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

Requirements:

  • Degree in nursing, psychology, or other related field.
  • Master’s degree required
  • One to two years related experience or training preferred
  • Management experience with a demonstrated leadership ability and skills to write reports required

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.

Avoid and Report Recruitment Scams

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters

Job Type: Part-time

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Employee assistance program
  • Flexible spending account
  • Health insurance
  • Health savings account
  • Life insurance
  • Loan repayment program
  • Paid time off
  • Retirement plan
  • Vision insurance

Schedule:

  • Monday to Friday

Application Question(s):

  • Do you have a degree in nursing, psychology, or other related field?

Education:

  • Master's (Required)

Experience:

  • Utilization review: 2 years (Required)
  • management: 2 years (Required)

Ability to Commute:

  • Savannah, GA 31406 (Required)

Ability to Relocate:

  • Savannah, GA 31406: Relocate before starting work (Required)

Work Location: In person

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