Utilization Review Coordinator jobs in Florence, SC

Job Posting Lighthouse Behavioral Health Hospital is hiring for a Part Time RN Utilization Review Coordinator.

Utilization Review / Risk Management

• Rewarding work environment
• Competitive Compensation
• Career development opportunities within UHS and its 300 Subsidiaries!

• 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 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 research available options including costs and appropriateness of patient placement in collaboration with discharge planners and patients.

0THER REQUIREMENTS :

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.