The Horsham Clinic is seeking a dynamic and talented Utilization Review Specialist.
The Horsham Clinic is a 206 bed private behavioral healthcare facility located on a beautiful 55-acre suburban campus. We are minutes from Philadelphia and we serve Southeastern Pennsylvania and New Jersey. The Horsham Clinic provides comprehensive behavioral health services to children, adolescents, adults, and their families. Programs and services are located on the main campus in Ambler, Pennsylvania, as well as satellite day hospital programs in Pennsylvania, Delaware County, and Chester County. We offer competitive rates, excellent benefits (after 30 days), 401(k) tuition reimbursement& PTO. If you are interested in becoming part of a well-respected industry leader, then we invite you send your resume.
The UR Specialist is responsible for evaluating medical records to determine severity of patient's illness and determining the appropriate level of care. UR Specialist will serve as a liaison for patients and hospital with insurance companies. UR Specialist will negotiate and advocate for the patients length of stay and level of care. Oversees UR activities with other departments to ensure reimbursement for the services provided by the hospital.
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