Universal Health Services, Inc. (UHS) is one of the nation's largest and most respected health care management companies, operating through its subsidiaries acute care hospitals, behavioral health facilities and ambulatory centers nationwide. Founded in 1978, UHS subsidiaries now have more than 65,000 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
Streamwood Behavioral Healthcare System (SBHS) is a 178-bed acute care facility located in Streamwood,IL and has been providing mental health treatment to the Chicagoland community and the state of Illinois since 1991. We are dedicated to offering services to meet the ever-changing emotional and behavioral healthcare needs of children, adolescents, and their families. SBHS has a full-time UM Coordinator position available. The candidate selected will be responsible for the following:The Utilization Management Coordinator is responsible for conducting admission and concurrent reviews in accordance with the hospital wide Utilization Management Plan. The UM Coordinator serves as a liaison to 3rd and 4th party reviewers and conducts focused reviews as determined by the Utilization Management Committee. The UM Coordinator maintains all records/data required through the UM Plan and Committee and appeals denied authorizations of dates of services when medical necessity for continued care is evident. The UM Coordinator tracks and reports denials in MIDAS, participates in staff/physician education relative to medical record documentation and actively participates in the UM Committee by tracking data and trends to be reviewed in order to improve the quality of systems as it relates to the UM Plan.
EXPERIENCE/EDUCATION: Bachelors Degree in nursing, psychology or mental/health/human services field is required; Masters preferred. A minimum of three (3) years direct clinical experience in a medical-psychiatric, psychiatric or mental health setting and at least two years experience in utilization management is required. Skills in consumer assessment, motivating families and other resources, treatment planning, and communicating with external review organizations or comparable entities is preferred.
LICENSURE/CERTIFICATION: R.N. or M.S.W. or other Masters Level mental health professional licensed or certified in the State of Illinois. Primary Source Verification shall be required through Illinois Department of Professional RegulationsPrimary Source Verification shall be required through Illinois Department of Professional Regulations UHSis not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at UHSvia-email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired byUHS as a result of the referral or through other means.