The Utilization Reviewer possesses the knowledge of psychiatric clinical diagnosis and the ability to articulate those indicators professionally. The Utilization Reviewer evaluates patient medical records to determine severity of patient’s illness and the appropriateness of level of care, serves as liaison for patients and hospital with insurance companies, and negotiates and advocates for patient length of stay and level of care. The Utilization Reviewer has a working knowledge of all levels of care offered and appropriately manages patient benefits.
Work schedule is Monday - Friday 8am - 4:3opm and may include evenings and weekends as necessary.
Full Time benefit options include:
Education:
High School Graduate or Equivalent. Bachelor’s degree in psychology, sociology, social work, human service or related field.
Experience:
Two years’ utilization reviewer experience preferred.
Physical requirements:
Sedentary Work – Exerting up to 10 pounds of force occasionally or a negligible amount of force frequently to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Job may be defined as sedentary when walking and standing are required occasionally and all other sedentary criteria are met.
Grasping; Speaking; Hearing; Computer use; Visual acuity (color, depth perception, field of vision); Sitting
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: or 1-800-852-3449.
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