Universal Health Services
DIRECTOR - UTILIZATION REVIEW / MGMT
Universal Health Services, Jacksonville, Florida, United States, 32290
Responsibilities
Universal Health Services, Inc., one of the nation's largest and most respected providers of hospital and healthcare services, has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, our annual revenues were $11.4 billion in 2019. In 2020, UHS was again recognized as one of the World's Most Admired Companies by Fortune; in 2019, ranked #293 on the Fortune 500; and in 2017, listed #275 in Forbes inaugural ranking of America's Top 500 Public Companies. Headquartered in King of Prussia, PA, UHS has more than 90,000 employees and through its subsidiaries operates 26 acute care hospitals, 328 behavioral health facilities, 42 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 37 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.River Point Behavioral Health, a subsidiary of UHS, is an 84-bed treatment facility, conveniently located in beautiful central Jacksonville, FL that specializes in the successful treatment of substance abuse and mental health issues for youth, adults and seniors. Our progressive team members in the fields of psychiatry, medicine, nursing, social services, education and activity therapy are all committed to provide compassionate, comprehensive care that uniquely fits the intensity and severity of each patient's needs.We are pleased to announce the following available position:
FT Director of Utilization ReviewThe Utilization Review Director is responsible for directing and overseeing the Utilization Management Department which includes the implementation of case management scenarios, consulting with all services to ensure the provision of an effective treatment plan for all patients, oversees the response to requests for services and interfaces with managed care organization, external reviewers, and other payers. The Director is responsible for departmental reports and monitoring, PI Initiatives, participates in the AOC rotation, committees and other teams as assigned.Directly supervises less than 5 employees. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
Qualifications
Registered Nurse, Master's Degree in Social Work or Psychology or equivalent education and experience in Utilization Review/Management. Has knowledge of regulatory and reimbursement requirements. Able to monitor and evaluate records for quality and appropriateness of care. Able to work independently and collegially with all clinical disciplines and staff within the hospital. Demonstrates leadership ability, good communication skills, ability to delegate and supervise.We offer:Challenging and rewarding work environmentCompetitive Compensation & Generous Paid Time OffExcellent Medical, Dental, Vision and Prescription Drug Plans401(K) with company match and discounted stock planCareer development opportunities within UHS and its 328+ Subsidiaries!Educational Reimbursement and Assistance (FT Employees)EEO StatementAll 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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Universal Health Services, Inc., one of the nation's largest and most respected providers of hospital and healthcare services, has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, our annual revenues were $11.4 billion in 2019. In 2020, UHS was again recognized as one of the World's Most Admired Companies by Fortune; in 2019, ranked #293 on the Fortune 500; and in 2017, listed #275 in Forbes inaugural ranking of America's Top 500 Public Companies. Headquartered in King of Prussia, PA, UHS has more than 90,000 employees and through its subsidiaries operates 26 acute care hospitals, 328 behavioral health facilities, 42 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 37 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.River Point Behavioral Health, a subsidiary of UHS, is an 84-bed treatment facility, conveniently located in beautiful central Jacksonville, FL that specializes in the successful treatment of substance abuse and mental health issues for youth, adults and seniors. Our progressive team members in the fields of psychiatry, medicine, nursing, social services, education and activity therapy are all committed to provide compassionate, comprehensive care that uniquely fits the intensity and severity of each patient's needs.We are pleased to announce the following available position:
FT Director of Utilization ReviewThe Utilization Review Director is responsible for directing and overseeing the Utilization Management Department which includes the implementation of case management scenarios, consulting with all services to ensure the provision of an effective treatment plan for all patients, oversees the response to requests for services and interfaces with managed care organization, external reviewers, and other payers. The Director is responsible for departmental reports and monitoring, PI Initiatives, participates in the AOC rotation, committees and other teams as assigned.Directly supervises less than 5 employees. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
Qualifications
Registered Nurse, Master's Degree in Social Work or Psychology or equivalent education and experience in Utilization Review/Management. Has knowledge of regulatory and reimbursement requirements. Able to monitor and evaluate records for quality and appropriateness of care. Able to work independently and collegially with all clinical disciplines and staff within the hospital. Demonstrates leadership ability, good communication skills, ability to delegate and supervise.We offer:Challenging and rewarding work environmentCompetitive Compensation & Generous Paid Time OffExcellent Medical, Dental, Vision and Prescription Drug Plans401(K) with company match and discounted stock planCareer development opportunities within UHS and its 328+ Subsidiaries!Educational Reimbursement and Assistance (FT Employees)EEO StatementAll 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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