Responsibilities

Utilization Management Case Manager

Beaumont Behavioral Health (a UHS Facility)

A growing 144-bed behavioral health facility – Beaumont Behavioral Hospital provides a full continuum of inpatient services across the entire patient population, including specialty programs to serve adolescents, adults, and older adults, and perform behavioral health assessments 24-hours a day. Additionally, programs for co-occurring behavioral health and substance use issues are offered to meet the unique needs of this patient population. The facility provides a robust outpatient program utilizing a combination of group, family, and individual therapy.

For more information, please visit our website: https://beaumontbh.com/

PositionSummary

The Utilization Management Case Manager is primarily responsible for organizing and conducting the managed care process. These duties are directed toward supporting the hospital's mission in the pursuit of excellence in care/service and will include, but are not limited to: conducting timely admission and continued stay record reviews with external payers, utilizing approved criteria to make determinations of medical necessity and level of care planning, verifying active treatment by completing internal audit reviews within approved time frames, assisting the treatment team when indicated in the discharge planning process, and acting as a liaison with MD/Clinical Treatment Team and external agencies. The Case Manager will also report authorizations, denials, and documentation concerns, as well as collaborate effectively across departments to minimize denials and facilitate optimal use of hospital resources.

Benefit Highlights

• Challenging and rewarding work environment

• Competitive Compensation & Generous Paid Time Off

• Excellent Medical, Dental, Vision and Prescription Drug Plans

• 401(K) with company match and discounted stock plan

• SoFi Student Loan Refinancing Program

• Pet Insurance

• Employee Assistance Program (EAP)

• Career development opportunities within UHS and its 300+ Subsidiaries!

• More information is available on our Benefits Guest Website: uhsguest.com (https://urldefense.com/v3/__http:/benefits.uhsguest.com__;!!OPumOOY!LESmM5gXhzV_CHynAC4xuBwbiziVj9coqpLEQWiQ5z7oVHquGGj54MrpWvQQ1WAGAvddDK7cPgk6O34etVYL040C_OHMTPB9$)

  About Universal Health Services

  One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

  Qualifications

  QUALIFICATIONS:

• Master’s degree in social work, counseling or a Michigan licensed Registered Nurse is required.

• Full licensure in the State of Michigan corresponding to the above degrees: LMSW, LPC, or RN.

• A minimum of 2 years of post-graduate related experience in psychiatric or substance abuse treatment required. Hospital utilization review/utilization management experience preferred.

• Experience in settings that include inpatient or partial hospitalization.

• Familiarity with managed health care process, medical terminology, experience in case management, discharge planning, and/or utilization review preferred.

• Familiarity with EPIC/EMR, MIDAS, and Windows based applications.

  EEO Statement

  All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

  We believe that diversity and inclusion among our teammates is critical to our success.

  Avoid and Report Recruitment Scams

  At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

  If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.