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UR Case Manager - (24909)

Universal Health Services

Job Code:
Universal Health Services
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Job Details

Deltek Talent Management - UR Case Manager - (24909)

Job Details

UR Case Manager - (24909)

Facility Name
Aurora Pavilion
AIKEN, SC 29801 US (Primary)
Career Area
Job Description

One of the nation’s largest and most respected hospital companies, Universal Health Services, Inc. (UHS)* has built an impressive record of achievement and performance. Steadily growing from a startup to an esteemed Fortune 500 corporation, UHS today has annual revenue nearing $10 billion. In 2017, UHS was recognized as one of the World’s Most Admired Companies by Fortune; ranked #276 on the Fortune 500, and listed #275 in Forbes inaugural ranking of America’s Top 500 Public Companies.


Our operating philosophy is as effective today as it was 40 years ago: Build or acquire high quality hospitals in rapidly growing markets, invest in the people and equipment needed to allow each facility to thrive, and become the leading healthcare provider in each community we serve.


Headquartered in King of Prussia, PA, UHS has more than 81,000 employees and through its subsidiaries operates more than 320 acute care hospitals, behavioral health facilities and ambulatory centers in the United States, Puerto Rico, the U.S. Virgin Islands and the United Kingdom.


Mission Statement: To provide superior quality healthcare services that:  PATIENTS recommend to family and friends, PHYSICIANS prefer for their patients, PURCHASERS select for their clients, EMPLOYEES are proud of, and INVESTORS seek for long-term returns.


Aiken Regional Medical Centers

Aiken Regional Medical Centers, located in Aiken, South Carolina, is a 259-bed acute care facility providing quality healthcare to the residents of Aiken and surrounding communities. Aiken Regional Medical Centers has been ranked a top hospital in South Carolina by the Carolina Center for Medical Excellence for its treatment of heart attack, heart failure and pneumonia. Services provided at the hospital include emergency medical care, orthopedic surgeries, maternity, and behavioral health services.

The Utilization Review Case Manager is responsible for precertification, concurrent and retrospective medical review of designated patient populations for documentation of appropriateness of admission and continued stay. This includes the tracking and trending of days saved, avoidable days, and initiation of interventions with appropriate healthcare team members to reduce and eliminate avoidable days; works in collaboration with interdisciplinary team members internal and external to the organization; participates in process improvement and evaluation process related to the management of patient care and resource utilization. Must customarily and regularly exercise discretion and independent judgment. Performs work duties that are original and creative, in a recognized field requiring invention, imagination and talent. Sees out to educate and guide the physician's on timely discharged patients.

Job Requirements

Education Requirements: Degree from an accredited Registered Nursing program with current state licensure or a Master's degree in a Human Services field.

Work Experience Requirements: Minimum of 3 years experience in an acute care hospital or related setting or previous utilization review experience.

Required Skills, knowledge and abilities: Knowledge of private insurance, Medicare criteria for hospitalization, understanding of healthcare financial systems, benchmarking practices. Experience in facilitating change through interdisciplinary collaboration; computer skills.


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