Utilization Management Lead

Lancaster Behavioral Health Hospital (LBHH) is a 126-bed, inpatient psychiatric hospital and start-up joint venture between Lancaster General Health/Penn Medicine and Universal Health Services.

In addition to a general adult unit and dedicated adolescent unit, the facility offers services for treating those with co-occurring disorders on the psychiatric-medical unit, an intensive adult unit to care for those with severe conditions, as well as a women’s trauma unit.

The Utilization Management Lead is responsible for completing the following duties and tasks:

• Performs timely, daily clinical reviews with all payer types (Managed Medicare, Managed Medicaid and commercial) to secure authorization for continued treatment (i.e. by fax, telephone or on-line) based on payer’s criteria.
• Assures smooth and orderly processes are followed for responding to UM calls and all concurrent reviews are completed daily.
• Assures that Midas documentation is updated daily and appropriately. That all documentation has enough detail to ensure no issues with payment.
• Assists in managing the department flow, providing support for all UM staff, such as covering reviews when needed shifting workloads as needed to ensure all tasks are covered daily.
• Collaborative closely with all internal teams. Breaking barriers in communication to ensure there are no delays in discharge.
• Delegate tasks as needed to other team members. Shifting assignments throughout the day is needed to ensure all team members are given approximately the same number of assignments per day.
• Training new hires on all systems. Having new hires shadow so that there is hands on training.
• Monitor and report department performance measures and making recommendations for improvement. Participate in any meetings that the Director is unable to attend or has assigned.
• Perform audits to ensure Medicare regulations are being followed.
• Ensure that all denials are followed up weekly and documentation is detailed.
• Facilitates internal and external customer service standards.

What do our current employees value at LBHH?

• An environment that puts patient care first.
• One of the most rewarding aspects of working at LBHH is providing excellent care, comfort, and security to the patients and families you treat, at their most vulnerable times.
• Having the opportunity to grow, learn, and advance in your career.
• There are very robust continuing education options and opportunities for leadership development.
• Supportive and responsive leadership.
• Competitive salary and comprehensive benefits package.

What’s in it for me?

• Challenging and rewarding work environment
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• Robust tuition reimbursement
• 401(K) with company match and discounted stock plan
• SoFi Student Loan Refinancing Program
• Career development opportunities within UHS and its 300 Subsidiaries!
• An opportunity to make a difference every single day

What Does LBHH Require for this Role?

• Education: Bachelor’s degree in psych related field and/or equivalent combination of education and experience required.
• Experience: Five years of utilization review required.

What Happens Next?

After you apply online and submit your resume, a member of our HR team will review your qualifications and experience. If we are interested in scheduling an interview, our HR team will reach out to you. You may log back on to this website to check the status of your application at any time.

Lancaster Behavioral Health Hospital: Treatment. Compassion. Hope. Today, tomorrow and always.

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.

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