COORD - CASE MGMT/UTILIZ REV

Holly Hill Hospital is part of Universal Health Services, Inc. (UHS), one of the nation's largest and most respected health care management companies, operating more than 200 facilities which include acute care hospitals, behavioral health facilities and ambulatory centers nationwide. Founded in 1978, UHS subsidiaries now have more than 65,000 employees.

This is an excellent opportunity. Join the team of Holly Hill Hospital, a growing, private, psychiatric facility that has provided 30 years' worth of service to the community. We are passionate about excellent quality care in the treatment and recovery of adults and adolescents with psychiatric and/or chemical dependency illnesses. Based in Raleigh, NC, Holly Hill Hospital is perfectly located in a rapidly growing family-oriented community that is just hours from the mountains and the beaches and is a surrounded by major universities.

We currently have a need for a PRN UR Coordinator.  Responsibilities include:

• Coordinate and monitor appropriate utilization and documentation of services throughout the course of treatment for patients admitted to the inpatient and outpatient programs and coordinate authorization with third-party payors.
• Review cases for appropriateness of admission, continued stay, and discharge planning.
• Assist in the promotion and maintenance of high quality patient care through the analysis, review and evaluation of clinical practices within the Hospital.
• Recommend plans of corrective action and monitor the impact of the action taken.
• Maintain communication system based on documentation and verbal exchange regarding treatment.
• Communicate with internal and external entities to facilitate acquisition of resources.

The candidate we are looking for will  have knowledge and experience in the following areas:

• Skills in application of DSM methodology.
• Excellent telephone etiquette, tact, and audible speech, with good enunciation.
• Ability to interact effectively with persons of widely diverse roles, backgrounds, cultures, and socio- economic classes.
• Effective oral and written communication skills and skills in analyzing and evaluating information.
• Ability to concentrate on tasks and meet deadlines.
• Intermediate computer skills.
• Organizational, time management, problem solving, crisis management skills as well as flexibility, creativity, and the ability to manage stress
• Understand appropriate clinical assessment, diagnoses, & interventions with patients.
• Understand admission and discharge criteria and function.
• Understand medical terminology, diagnostic terms, treatment modalities, and medical record keeping.
• Understand psychiatric evaluations, medical consultations, lab results, medication management, and other components of patient treatment.