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Utilization Review Manager - (240232)

Universal Health Services


Location:
SACRAMENTO, CA
Date:
11/16/2017
2017-11-162017-12-15
Job Code:
3255
Universal Health Services
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Job Details

Deltek Talent Management - Utilization Review Manager - (240232)

Job Details


Utilization Review Manager - (240232)

Facility Name
Sierra Vista Hospital
Location
SACRAMENTO, CA 95823 US (Primary)
Career Area
Professional
Category
Other
Job Description

The Sierra Vista Hospital location, a 171-bed psychiatric care facility located in south Sacramento, is a full-service mental health facility and a center of support for patients and their families. Since 1986, we have offered our clinical expertise to those suffering from emotional, behavioral and addiction problems.

  • The Utilization Review Manager will establish the SVH protocol for clinicians to review the patient’s medical record on specific days to meet continued authorization. Ensure knowledge of staff regarding medical necessity, regulatory requirements and standards, i.e. Joint Commission, Title 9, CMS/Medicare guidelines, EMTALA, HIPAA, etc. Develop processes and procedures for all UR activities, including written appeal letters for all denials. The Utilization Review Manager is responsible to manage continued authorization for all patients admitted to a SVH program to maximize profitability and minimize any financial loss to the hospital and the patient. Using an ongoing, systematic process for continued authorizations on every current admission per the payor guidelines and contract.

Why is Sierra Vista Hospital a great place to work?

  • Dynamic people

  • Team-oriented environment

  • Opportunity for advancement

  • Great training program for new grads!

  • Rewarding career opportunities

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. Sierra Vista Hospital, a 171-bed psychiatric care facility located in south Sacramento, is a full-service mental health facility and a center of support for patients and their families. Since 1986, we have offered our clinical expertise to those suffering from emotional, behavioral and addiction problems.

Job Requirements

Education: Master’s degree required from an accredited college or university in social work, mental health or a related field or equivalent for licensure. OR RN license

Experience: A minimum of two (2) year experience with communication with external review organizations or comparable entities and direct clinical experience in a psychiatric or mental health setting is preferred. .

Licensure: R.N., LCSW, LMFT, preferred

Additional Requirements: Complete knowledge of crisis intervention techniques.

Trained in Non-Violent Crisis Intervention. C.P.I., and CPR within the first 30 days of employment. Moderate knowledge of Microsoft office applications such as excel and word.

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