One of the nation's largest and most respected hospital companies, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Steadily growing from a startup to an esteemed Fortune 500 corporation, UHS today has annual revenue nearing $10 billion. In 2017, UHS was recognized as one of the World's Most Admired Companies by Fortune; ranked #276 on the Fortune 500, and listed #275 in Forbes inaugural ranking of America's Top 500 Public Companies.
Our operating philosophy is as effective today as it was 40 years ago: Build or acquire high quality hospitals in rapidly growing markets, invest in the people and equipment needed to allow each facility to thrive, and become the leading healthcare provider in each community we serve.
Headquartered in King of Prussia, PA, UHS has more than 81,000 employees and through its subsidiaries operates more than 320 acute care hospitals, behavioral health facilities and ambulatory centers in the United States, Puerto Rico, the U.S. Virgin Islands and the United Kingdom.
Rockford Center is seeking a dynamic and talented Utilization Review Specialist.
Rockford Center is Delaware's first private psychiatric facility and remains a leader in providing behavioral health care services and continues its commitment to providing quality health care. Rockford Center, a 138-bed acute psychiatric hospital continues to provide a full continuum of behavioral health services to geriatrics, adults, adolescents, and children.
The Utilization Review Specialist will proactively monitor utilization of continuum services and optimize reimbursement.
Key Responsibilities include:
Completes pre-certs and concurrent reviews as assigned, on appropriate day and by the specified time (if specified).
Completes write-ups on new admissions and step-downs/step-ups as assigned, along with the "Change Level of Care" form when applicable.
Communicates with ARC to gather pre-cert information for new admissions as needed.
Participates in daily treatment teams: communicates pertinent payor information, requests, or concerns; gathers information needed for reviews, and facilitates the signing of Medicare forms when applicable.
Takes initiative to independently gather additional information for reviews as needed.
Calls in discharge information to payor by the end of the business day following discharge, or on day of discharge as required by some payors.