• Universal Health Services
  • $23,120.00 -31,450.00/year*
  • Ambler , PA
  • Healthcare - Nursing
  • Full-Time

Job Description

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.

Job Requirements

  • Exposure to psychiatric patients who may exhibit violent/ aggressive behavior. General hospital environment.
  • Must be willing to work with kids and adolescents.
  • Masters Level Education/ MSW
  • RN Licensein the state of Pennsylvania
  • Licensure in LSW/ LSCW
  • Demonstrates working knowledge of behavioral mental health, nursing clinical practices, and management
  • Experience in interviewing patients and families in order to obtain clinical information and acute symptoms
  • Highly Developed written and verbal communication skills
  • 3 or more years of experience in behavioral health setting
  • Ability to plan, direct, and monitor others activities with demonstrated leadership abilities that contribute to a positive work environment.
  • Proficiency with common computer based applications such as electronic mail, word processing and various databases

  • Associated topics: cytometry, diet, dietetic, disease, immuno oncology, immunohematology, metabolism, nutritionist, pharmacology, pharmacometrics

    * The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

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