RN - UR COORD
Posted on: 16 Mar 2021
Augta, GA
Job Description
Job Description
Responsibilities
Lighthouse Care Center of Augusta (LCCA) is looking for an awesome Utilization Review Nurse (RN).
The Utilization Review Nurse is responsible for conducting clinical review of data to determine eligibility respective to pre-certification and continued stay reviews. Position coordinates all utilization functions, monitoring the utilization and continuum of services to optimize reimbursement. Conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients' treatment. Reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Consults with physicians as needed.
Qualifications
* Must possess a current GA or Multistate RN license.
* Must have at least 1 year of experience in the delivery of care to psychiatric and/or chemically dependent patients.
* Must have prior experience working in utilization management.
Universal Health Services
King of Prussia, PA
Universal Health Services, Inc. (UHS) is one of the nation’s largest and most respected healthcare management companies, operating through its subsidiaries, behavioral health facilities, acute care hospitals and ambulatory centers throughout the United States, the United Kingdom and Puerto Rico. UHS was founded in 1979 by Alan B. Miller, Chairman and CEO, and today has more than 87,000 employees. UHS maintains one of the strongest balance sheets and is rated among the highest in the hospital services industry by Moody’s and Standard & Poor’s. This strong capital position has enabled the company to develop and acquire many new facilities over the past few years.
The UHS strategy is to build or purchase healthcare properties in rapidly growing markets and create a strong franchise based on exceptional service and effective cost control. UHS owes its success to a responsive management style and to a service philosophy that is based on integrity, competence and compassion.
The healthcare industry remains a place of rapid change and uncertainty. But with strength, experience and foresight to chart its own course, UHS has every reason to face the future with optimism.
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IndustryHealthcare
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No. of Employees87,000
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Website
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Jobs Posted7367
