Utilization Review Technician jobs in Philadelphia, PA

Eagleville Hospital is currently seeking a full time Utilization Review Analyst. 

Responsibilities include:

• Reviews admissions to determine medical necessity and appropriateness of treatment.
• Secures necessary data for extended stay reviews.
• Presents abstract (via telecon) of clinical course of treatment, to all various insurance companies and/or their contractual agencies, to justify continued treatment.
• Reviews, abstracts and assigns initial length of stay and extensions of treatment, as appropriate, for Medicare, self-pay and private (non-precertification) insurance companies.
• Communicates all extensions of treatment to clinical teams and Director, Utilization Review.
• Attends daily treatment team meetings.

Qualifications include:

• RN or four year degree in Social Work, Counseling, or related field
• Previous Case Management or UR experience required
• Previous experience in a hospital setting preferred 
• Requires good writing skills along with the ability to interpret chart terminology
• Knowledge of addiction helpful

Eagleville Hospital, located in Montgomery County, Pennsylvania, is a private non-profit organization dedicated to the treatment, education, and prevention of substance abuse and co-occurring disorders.  The hospital serves as a regional resource for the treatment and prevention of alcohol and drug abuse, as well as a national resource for training and research for addiction and related conditions. 

We offer a competitive salary and benefits package including health, dental, life insurance, paid time off, and retirement plan contributions. 

EOE