Utilization Management Case Manager Full Time

Responsibilities

UTILIZATION MANAGEMENT - CASE MANAGER - FULL-TIME - MONDAY-FRIDAY - DAY SHIFT

REVISED PAY RATES EFFECTIVE MAY 2023!

HAVENWYCK HOSPITAL (a UHS facility)

Havenwyck Hospital s a Joint Commission-accredited and licensed psychiatric hospital, overlooking Lake Galloway in Auburn Hills, Michigan. We specialize in providing comprehensive, compassionate behavioral health services to children, adolescents and adults. It is the ultimate goal of our dedicated staff to build strength, confidence and knowledge within each patient, in hopes that they may continue learning and understanding their needs and practicing self-care for the rest of their lives.

For more information, please visit us at www.havenwyckhospital.com

Position Summary

Havenwyck Hospital is seeking a dynamic and talented licensed Utilization Management Case Manager to join our team of compassionate and dedicated clinical professionals. The Utilization Management Case Manager has responsibility for organizing and conducting the managed care process. These duties shall be directed toward supporting the hospital's mission in the pursuit of excellence in care/service and will include (but 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 liaison with MD/Clinical Treatment Team and external agencies. Report authorizations, denials, and documentation concerns, as well as collaborate effectively across departments to minimize denials/facilitate optimal use of hospital resources.

If you would like to learn more about this position before applying, please contact Havenwyck Hospital at 248-373-9200.

Benefit Highlights

• Tuition Reimbursement
• Free Basic Life Insurance
• Career development opportunities within UHS and its 300+ Subsidiaries
• Challenging and rewarding work environment
• Competitive Compensation & Generous Paid Time Off
• Student Loan Repayment Program - for some degrees and criteria
• 401(K) with company match and discounted stock plan
• Excellent Medical, Dental, Vision and Prescription Drug Plan
• SoFi Student Loan Refinancing Program

What do our current employees value at Havenwyck Hospital & UHS?

An environment that puts patient care first. One of the most rewarding aspects of working at Havenwyck Hospital is being part of a team that's providing excellent care, comfort, and security to patients and families, at their most vulnerable times Supportive and responsive leadership. You are never alone, as you are part of a large network of peer co-workers that routinely exchange ideas and review current topics within the industry. Having the opportunity to grow, learn, and advance in your career. There are very robust continuing education options and opportunities for skills diversification and career advancement with UHS.

Universal Health Services (UHS)

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $11.6 billion in 2020. In 2021, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; in 2020, ranked #281 on the Fortune 500; and listed #330 in Forbes ranking of U.S.’ Largest Public Companies. Headquartered in King of Prussia, PA, UHS has 89,000 employees and through its subsidiaries operates 26 acute care hospitals, 334 behavioral health facilities, 39 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 38 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.

Qualifications

• A minimum of 2 years of post-graduate related experience in psychiatric or substance abuse treatment required. Hospital utilization review/utilization management experience preferred.
• Familiarity with managed health care process, medical terminology, experience in case management, discharge planning, and/or utilization review preferred.
• Bachelor Degree in social work, psychology, counseling or nursing required. Master’s degree in social work, psychology, or counseling preferred.
• Employees must be in good standing (employment/corrective action history, performance evaluation, etc.) to be considered for internal transfers
• Experience in settings that include inpatient or partial hospitalization preferred.
• Limited or fully licensed (LBSW, RN, LLMSW, LMSW, LLP, TLLP, LPC, LMFT, etc.).

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.

Notice

At UHS and all its subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. Additionally, recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting our Compliance Hotline at: https://uhs.alertline.com or 1-800-852- 3449.