Clinical Care Specialist- Utilization Review
The Kempsville Center for Behavioral Health - Norfolk, VA

This job posting is no longer available on Universal Health Services. Find similar jobs: Clinical Care Specialist jobs

The Kempsville Center for Behavioral Health

, founded in 1986, is an 83 bed facility within the city of Norfolk, Virginia. Kempsville Center for Behavioral Health offers comprehensive mental health programs to the state of Virginia. We provide psychiatrically and medically managed acute and residential treatment for children and adolescents with significant impairments in their social and emotional development. We provide quality care to children and adolescents in need using quality, evidence based practice treatments. We are accredited by The Joint Commission (TJC), and are licensed by the Commonwealth of Virginia and The Virginia Department of Behavioral Health and Developmental Services (DBHDS).

Kempsville Center for Behavioral Health is a subsidiary of Universal Health Services, Inc. (UHS) ,one of the nation’s largest and most respected health care management companies, operating through its subsidiaries acute care hospitals, behavioral health facilities and ambulatory centers nationwide. Founded in 1978, UHS subsidiaries now have more than 65,000 employees. The UHS business strategy is to build or purchase health care properties in rapidly growing markets and create a strong franchise based on exceptional service and effective cost control. Our success comes from a responsive management style and a service philosophy based on integrity, competence and compassion.

Kempsville Center for Behavioral Health currently has a PRN position, with full-time hours during a 12 week period, for a Clinical Care Specialist-Utlization Review . Weekend hours may be required.

Position Purpose:

To provide ongoing support and enhance the quality of patient care, to promote continuity of care and cost effectiveness through the integrating and function of case management, utilization review and discharge planning.

Key Responsibilities:

• Monitors and reviews patient charts to ensure compliance with all insurance requirements.

• Makes recommendation for areas of improvement and reports areas of deficiencies to the department managers and Director of Clinical Care Coordination.

• Schedules and facilitate treatment team reviews and documentation.

• Coordinates effective patient care including admissions, continued stays, and discharge requirements.

Requirements

Knowledge:

Needs basic understanding of and comfort level with medical terminology, residential treatment, clinical science/pathology and psychiatric disorders. Must know how to gather and analyze data. Must be articulate, assertive, and able to communicate effectively with families, payers, therapists and physicians both verbally and in writing. Must also demonstrate initiative, tact and good judgment. Must be able to acquire clear understanding of treatment priorities and ability to make sound decisions balancing resident and family needs with available resources. Must have basic computer skills.

Education:

Undergraduate degree in Health Information Management or equivalent related experience preferred.

Experience:

Two or more years experience in health care, performance improvement experience preferred.

Physical Requirements:

Must be able to mentally handle stressful and quick changing situations. Must have normal auditory processing. Must have clear verbal speech with no impediments. 50% of time, incumbent is seated and talking on the phone or using a computer.