Responsibilities Utilization Review / Risk Management Lighthouse Behavioral Health Hospital is a 105-bed, acute care psychiatric hospital located in Historic Conway SC Just miles from the Beaches of Myrtle Beach South Carolina. Lighthouse Behavioral Health Hospital features individual units for children, adolescents, adults, and seniors, and offers inpatient acute care, CD Rehab and intensive outpatient programs.Benefits for UR-Registered Nurse (RN) include:
- 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!
- Tuition Assistance
- Flexible Schedule
Qualifications The Utilization Review Coordinator position will consist of Four 8 hour Daylight Shifts a week, to include weekdays and weekends as required. This is a Full Time position.This is a great opportunity for someone looking for multi-disciplinary experience. The UR Coordinator is also responsible for conducting utilization and quality management activities in accordance with Utilization Review policies and procedures. The Coordinator performs the overall function of providing an ongoing, systematic process for the measurement and assessment of the necessity, appropriateness, and efficiency of facility healthcare services and procedures.Snapshot of Day to Day Duties and Responsibilities
- Assisting in the promotion and maintenance of high quality care through the analysis, review, and evaluation of clinical criteria as it relates to patient treatment and length of stay.
- Reviewing cases for appropriateness of admission, continued stay, and discharge planning.
- Managing and effectively utilizing insurance benefits through timely prospective, concurrent, and retrospective review activities.
- Complies with all Administrative, Clinical, and HR policies and procedures.
- Maintains an awareness of patient funding sources, discharge planning needs, and available resources in order to facilitate continuity of care.
- Plans and organizes the functions of the facilities Case Management system to minimize denials of payment.
- Performs prospective, concurrent and retrospective telephonic reviews for inpatient Mental Health and Dual Diagnosis services.
- Promotes alternative care programs and researches available options including costs and appropriateness of patient placement in collaboration with discharge planners and patients.
0THER REQUIREMENTS : One to three years of experience in utilization review, case management, or discharge planning preferred.Three years of experience in a Behavioral Health facility providing multiple levels of care preferred.Registered Nurse or licensed mental health clinician preferred.Strong communication, documentation, clinical and critical thinking skills essential. Working knowledge of utilization management/ case management preferred.Strong problem solving and decision making skills essential.Strong typing and computer skills essential. What do our current nurses value at Lighthouse Behavioral Health Hospital & UHS? An environment that puts patient care first. One of the most rewarding aspects of working as a Registered Nurse (RN) is providing excellent care, comfort, and security to the patients and families you treat, at their most vulnerable times. Supportive and responsive leadership. You are never alone, as you are part of a large network of peer nurses and nursing leaders that routinely exchange ideas and review current topics within the industry. Having the opportunity to grow, learn, and advance in your career. There are very robust continuing education options and opportunities for skills diversification and career advancement as a Registered Nurse (RN) with UHS.One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, our annual revenues were $10.77 billion in 2018. 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 87,000 employees and through its subsidiaries operates 26 acute care hospitals, 327 behavioral health facilities, 40 outpatient facilities and ambulatory care access points, an insurance offering, a physician network