Responsibilities

Kingwood Pines Hospital is a 116 bed facility located in the beautiful residential Kingwood community. We are located about 30 miles northeast of the Houston Medical Center. The hospital provides 24-hour emergency services. We serve children, adolescents, and adults for psychiatric and behavioral health. The hospital also has services in intensive outpatient and partial hospital program services.

Website: www.kingwoodpines.com

Click here for a virtual Facility Tour (https://kingwoodpines.com/about-us/our-campus/)

Position Summary

The Utilization Review (UR) Coordinator will perform admission and continued-stay reviews; position also assists with performing discharge planning to patients.

Job Duties/Responsibilities

• Performs reviews for appropriateness of admission and continued stays.

• Contacts representative soft third-party payers to verify benefit coverage. Obtains coverage for appropriate admission and continued stay relative to patient diagnosis, treatment and progress.

• Appeals inappropriate reimbursement denials with representatives of third-party payers in light of patient diagnosis, treatment and progress.

• Demonstrates knowledge of referral sources. Establishes communication with referral sources and outside practitioners to ensure adequate discharge planning.

• Particpates in unit staffing regularly to expedite discharge planning

  Benefit Highlights

• Challenging and rewarding work environment

• Career development opportunities within UHS and its Subsidiaries

• Competitive Compensation

• Excellent Medical, Dental, Vision and Prescription Drug Plan

• 401(K) with company match and discounted stock plan

• Generous Paid Time Off

• Free Basic Life Insurance

  About Universal Health Services

  One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $13.4 billion in 2022. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 94,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

  Qualifications

• Bachelor’s degree from an accredited college or university in social work, mental health or a Nursing degree preferred. Knowledge of behavioral health systems and Utilization Management required.

• Minimum of two (2) years professional experience in a health care setting, preferably inpatient. Minimum of two (1) years experience in UR or Case Management.

• LPC, LMSW, LVN or RN license preferred.

• CPR and HWC Crisis Intervention training must be completed prior to beginning work (Can be obtained upon hire).

  EEO Statement

  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.

  Notice

  At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.