Utilization Management Director jobs in Philadelphia, PA

Located on a 27-acre wooded campus, Fairmount Behavioral Health System is a peaceful, therapeutic environment for patients and families. Fairmount is a major regional resource for children, adolescents and adults who have psychiatric and behavioral problems as well as alcohol and drug dependency needs. The spacious campus borders Fairmount Park in the Roxborough section of Philadelphia. With one of the leading alcohol and drug detox and rehab programs in Philadelphia, Fairmount is the provider of choice for individuals requiring specialized co-occurring psychiatric and chemical dependency treatment. We are currently seeking a Utilization Management (UM) Coordinator to join our team.

Utilization Management (UM) Coordinator Position

Fairmount Behavioral Health System is seeking a Utilization Management (UM) Coordinator to reviews patient medical records to determine severity of patient’s illness and the appropriateness of level of care.  Serves as a liaison for patient and hospital with insurance companies.  Negotiates and advocates for patient length of stay and level of care.  Oversees utilization review activities with other departments to ensure reimbursement for services provided by the hospital.

This opportunity provides the following:

• 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!
• Tuition Assistance

Universal Health Services, Inc. (UHS) is one of the nation’s largest and most respected health care management companies operating through its subsidiary acute care hospitals, behavioral health facilities, and ambulatory centers nationwide. Founded in 1978, UHS subsidiaries now have more than 90,000 employees. The UHS business strategy is to build or purchase health care properties in rapidly growing markets and create a strong franchise based on exceptional service and effective cost control. Our success comes from a responsive management style and a service philosophy based on integrity, competence, and compassion. 

Education: MA/MSW or RN highly preferred, or equivalent experience

Experience:  Five or more year’s direct psychiatric patient care experience.

Licensure/Certification:  RN license in state of Pennsylvania or LSW preferred.

Knowledge:  Must possess knowledge of psychiatric care, utilization review, insurance reimbursement procedures, etc.  Basic computer skills necessary. Exceptional customer service skills 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.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries.  We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.