3 hours

Utilization Reviewer - (68436)

Universal Health Services
JACKSONVILLE, NC
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  • Job Code
    68436
Deltek Talent Management - Utilization Reviewer - (68436)

Job Details


Utilization Reviewer - (68436)

Facility Name
Brynn Marr Hospital
Location
JACKSONVILLE, NC 28546 US (Primary)
Career Area
Professional
Category
Administration, Registered Nurse - Behavioral Health, Social Worker
Job Description

Position Summary

The Utilization Reviewer possesses the knowledge of psychiatric clinical diagnosis and the ability to articulate those indicators professionally.  The Utilization Reviewer evaluates patient medical records to determine severity of patient’s illness and the appropriateness of level of care, serves as liaison for patients and hospital with insurance companies, and negotiates and advocates for patient length of stay and level of care.  The Utilization Reviewer has a working knowledge of all levels of care offered and appropriately manages patient benefits.

Work schedule is Monday - Friday 8:30am - 4:30pm.

Utilization Reviewer Full Time benefits include:

Medical, Dental, Vision options
Supplemental benefits (Life, LTD, STD, AD/D)
Voluntary benefits (legal plan, identity theft, pet insurance)
401k with matching
PTO
Employee Assistance Program
 

Job Requirements

Minimum Qualifications

Education:

High School Graduate or Equivalent.  Bachelor’s degree in psychology, sociology, social work, human service or related field or graduate of accredited professional nursing school preferred.

Experience:

Two years’ utilization reviewer experience preferred.

License/Certification:

If nurse, Current North Carolina or compact state licensure as a Registered Nurse.

Physical Requirements:

Work is sedentary requiring sitting most of the day.  Sitting at least (6) six hours a day while processing paperwork, answering the phones and other described duties.  One half of the day is spent on the telephone.  Standing at least one hour a day while making copies, delivering messages, etc.  Lifting up to 20lbs of copier paper from floor level to chest level while filling copier with paper.

Repetitive motions using fingers and forearms; sitting for long periods of time; manual dexterity to access filing system. Near visual acuity to prepare and analyze data figures including items seen on computer terminal and written page; reading is required.

v15.2.1.1
Posted: 2019-02-21 Expires: 2019-03-22

Universal Health Services

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Utilization Reviewer - (68436)

Universal Health Services
JACKSONVILLE, NC
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