Job Description

Austin Oaks Hospital (a UHS facility):

Austin Oaks Hospital is an 80-bed facility that offers a broad spectrum of psychiatric services for adults and children ages 12 to 17.  Located on a beautiful  oak-lined campus, we provide a home-like environment that promotes crisis resolution, positive self-awareness, social skills, and personal growth. Our psychiatric treatment and substance abuse services are available through both inpatient and outpatient programs to fit your needs. Get a confidential assessment from our trained staff today to determine which services best suit your recovery goals. Austin Oaks Hospital is located in South Austin 10 minutes from downtown.  Please visit our website for more information: 

What Austin Oaks Offers:

Austin Oaks Hospital is seeking qualified, energetic candidates for our current job openings. We welcome new Grads!  Join us and be a part of our organization servicing our communities mental health needs.. If you are a dedicated, hardworking individual who wants to make a positive difference in the lives of our patients we encourage you to apply. Austin Oaks Hospital puts patient care first. One of the most rewarding aspects of working at Austin Oaks is providing excellent care, comfort, and security to the patients and families you treat, at their most vulnerable times. At Austin Oaks Hospital you are never alone, as you are part of a huge network of peer professionals and nursing leaders that routinely exchange ideas and review current topics within the industry.

POSITION SUMMARY:

The Utilization Review Coordinator PRN is a key member of the Austin Oaks Hospital Team who is responsible for ensuring that financial benefits are maximized in the treatment and discharge planning for assigned cases through initial and continued stay reviews, prior authorization work for discharge services, effective liaison work and communication between business office and treatment team, support of the discharge plan, and active pursuit of appeals.

JOB DUTIES/RESPONSIBILITIES

• Conducts concurrent and extended stay reviews on assigned patients in a reasonable time frame, ensuring the information is presented in a concise, articulate manner.      

• Schedules upcoming reviews; notifies the attending physician of physician reviews and facilitates reviews if necessary.

• Establishes a good rapport with third party reviewers while maintaining an advocacy stance on behalf of the client; submits any written materials requested by third party payers in a timely manner.

• Is pro-active and independent in gathering information for reviews from the client record and takes the initiative to seek information from members of the treatment team if necessary.

• Notifies all concerned parties when cases are denied, giving recommendation regarding viability of appeal; effectively coordinates collection of all pertinent data to support organization and patient’s position; ensures appeals are prepared within the dictated time constraints.

• Maintains accurate and current records on day’s denied and current status of appeals; demonstrates effective written communication skills in formulating appeals.

• Maintains appropriate records of the utilization review data and activities; updates patient accounting database daily with accurate discharge and certification information; ensures files and records are organized and thorough and easily accessible.

• Participates in formulation of patient’s treatment and discharge plans with other members of the treatment team.

• Maintains on-going contact with insurance reviewers to maintain certification status by providing reviewing insurance with discharge information including outpatient appointments that the patient has post discharge.

• Supports departmental goals by attending and participating in department meetings and offering ideas and suggestions regarding goals and objectives.

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.

QUALIFICATIONS :

EDUCATION:

Required:        B.A. 

Preferred:        Masters degree; Social Work, Counseling, or related field.

LICENSURE / CERTIFICATION:

Current CPR; Preferred Licensed Mental Health Professional; LPC, LMSW, LCSW or RN.

EXPERIENCE:

Required:        Minimum of two (2) years professional experience in a health care setting, preferably inpatient. Minimum of two (2) years’ experience in UR.

Preferred:        Five years’ experience in mental health in an inpatient facility.  Five years UR experience.

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.

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