Utilization Review Manager - Home Care jobs in Lexington, KY

Utilization Review Case Coordinator Opportunity:

Full Time, Day Shift

The Case Coordinator is responsible for managing and coordinating the treatment activities offered to the patient, interface with the treatment team/external case managers/managed care organizations, referring professionals and implementation and supervision of the discharge planning.  Coordinates and tracks all of the admission and continue stay reviews for pre-certifications.  Works closely with Intake/Needs Assessment Department and Clinical Treatment Team to carry out its objectives regarding the provision of utilization management for continued stay reviews.  Actively participates in treatment team and works directly with the patient’s in aftercare planning and setting up appointments and facilitates placement referrals for discharge as appropriate.  Follows and abides by company policies, procedures, and Corporate Compliance Program, as applicable to role and responsibilities.

Ridge Behavioral Health is a 110-bed, behavioral health hospital located in the heart of the Bluegrass, Lexington, KY.   The Ridge provides psychiatric and substance use treatment for children, adolescents, and adults. The Ridge offers inpatient, partial hospitalization, intensive outpatient programs, individual counseling, as well as medication management for all ages. We have provided behavioral health services to over 92 Kentucky counties for more than 36 years.

The Ridge was the recipient of the 2019 Service Excellence Award.

 Benefits include:

• Challenging and rewarding work environment
• Career development opportunities within UHS and its 300 Subsidiaries
• 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
• Tuition Reimbursement Program
• Retention Bonus Program
• Referral Bonus Program
• Close to Hamburg & I-75
• Free parking on premises
• Free meal with each shift

If you would like to learn more about this position, please contact Sonia Joyner, Human Resources Director, at (859) 268-6477.

 What do our current employees value at The Ridge Behavioral Health & UHS?

An environment that puts patient care first. Supportive and responsive leadership.  You are never alone, as you are part of a large network of peers and 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.  

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 and various related services located in 37 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.

Education

• Master’s degree in Social work, Psychology, or other Mental Health field or RN license is preferred.
• Minimum Associate Degree with 5 years mental health experience required.

Experience

• One to two years of experience in a psychiatric hospital is preferred
• One to two years of experience in Utilization Management preferred.

Certifications/Licensure

• Crisis intervention training required.  This training also offered upon hire.
• CPR certification

Other Skills

• Excellent written and verbal communication skills.

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.