Ur Coordinator

Job Description

Oak Plains Academy (a UHS Company) is located on 20 acres of rolling hills in a rural setting, about 45 minutes from Nashville, Tennessee. The campus offers psychiatric residential treatment services to children and adolescents struggling with emotional and behavioral issues. Facility features include a full-size gymnasium, separate academic building, and four dormitories, with outdoor recreational activities such as fishing, hiking, softball and basketball.

• Job
• Shift: Day
• Department:
  Admissions, Behavioral Health, Billing, Insurance - Claims, Other, Support Staff
• Location:
  
  Ashland City, Tennessee
• Facility:
  Oak Plains Academy (a UHS Company)

We are seeking a Utilization Review Coordinator to help safeguard our youth by ensuring their safety and security. The ideal candidate is patient, accepting, compassionate, and motivated to help children. The coordinator will adhere to strict policy guidelines for supervision, manage and facilitate a continuum of service, promote positive outcomes, and optimize reimbursement. Key duties include coordination of patient care, daily clinical reviews, quality documentation, appeals, reporting, supervising the UR team, and completing discharge practices for patients and families upon discharge.

• Challenging and rewarding work environment
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match and discounted stock plan
• Career development opportunities within UHS and its 300+ Subsidiaries

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) operates acute care hospitals, behavioral health facilities, outpatient facilities and more across the U.S., Washington, D.C., Puerto Rico and the United Kingdom. ()

• Bachelor’s degree in nursing, social work, psychology, health information management or other related healthcare field is preferred with two years psychiatric experience in chart analysis and in the utilization review field.
• Master Degree preferred.
• Demonstrated understanding of third‑party reimbursement and processes involved in re‑establishing benefits when unexpectedly terminated; experience in prioritizing review processes within a managed care environment. Experience interpreting admission and continued stay criteria to advocate for appropriate maintenance of benefits.
• Demonstrated experience of admission and discharge functions and can discuss current psychopathology with BHO reviewers utilizing integrated clinical knowledge relating to Axis I diagnosis to evidenced clinical documentation.
• 21 years of age, with a valid drivers license.
• Flexiable schedule.

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.