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Utilization Review Coordinator - (19967)

Universal Health Services

Job Code:
Universal Health Services
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Job Details

Deltek Talent Management - Utilization Review Coordinator - (19967)

Job Details

Utilization Review Coordinator - (19967)

Facility Name
Bethany Behavioral Health
BETHANY, OK 73008 US (Primary)
Career Area
Allied Health
Medical Billing
Job Description


Certified Nurse’s Aide (CNA)
Bethany Behavioral a Unit of Cedar Ridge Hospital is a newly renovated 60-bed psychiatric hospital offering adult behavioral health programs and treatment services in the Oklahoma City area. We are owned by Universal Health Services, one of the nation’s largest and most respected healthcare management companies with numerous acute and behavioral facilities throughout the country and abroad. Universal Health Services, Inc. (UHS) knows what it takes to lead, inspire and succeed. One of the Nation's largest and most respected hospital companies, UHS owns and operates through its subsidiaries 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. 

Benefit Highlights:

  • ·         Challenging and rewarding work environment
  • ·         Career development opportunities within UHS and its Subsidiaries
  • ·         Excellent Medical, Dental, Vision and Prescription Drug Plan
  • ·         401(K) with company match and discounted stock plan
  • ·         Paid Time Off

Position Summary

Evaluates patient medical records to determine severity of patient’s illness and the appropriateness of level of care.  Serves as liaison for patients and facility with insurance companies.   Negotiates and advocates for patient length of stay and level of care.  Coordinates utilization review activities with other departments to ensure reimbursement for services provided by the facility.  Audits medical charts as applicable. Promotes patient care consistent with the philosophy and objectives of Cedar Ridge.  Performs duties in accordance with the ANA Standards of Practice for Psychiatric Mental Health Care, and facility mission, values, policies, and behavioral standards.


Job Requirements


  • Experience: 3-5 years clinical experience with a psychiatric mental health population required.
  • Education: Must have degree in Nursing, Social Work, or related field, or be in the process of actively pursuing degree.  MSN or MSW preferred.
  • Licensure/Certification: Licensed Therapist or Social Worker (LPC/LCSW) preferred.
  • Working Knowledge: Possesses knowledge of psychiatric care, utilization review, insurance reimbursement procedures, DSM-IV, etc.  Current knowledge of regulating /accrediting agency guidelines. Basic knowledge of statistical analysis desired. 
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