Responsibilities Utilization Review / Risk Management Lighthouse Behavioral Health Hospital is a 105-bed, acute care psychiatric hospital located in Historic Conway SC Just miles from the Beaches of Myrtle Beach South Carolina. Lighthouse Behavioral Health Hospital features individual units for children, adolescents, adults, and seniors, and offers inpatient acute care, CD Rehab and intensive outpatient programs. Benefits for UR-Registered Nurse (RN) include: 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 Career development opportunities within UHS and its 300+ Subsidiaries! Tuition Assistance Flexible Schedule Qualifications The Utilization Review Coordinator position will consist of Four 8 hour Daylight Shifts a week, to include weekdays and weekends as required. This is a Full Time position. This is a great opportunity for someone looking for multi-disciplinary experience. The UR Coordinator is also responsible for conducting utilization and quality management activities in accordance with Utilization Review policies and procedures. The Coordinator performs the overall function of providing an ongoing, systematic process for the measurement and assessment of the necessity, appropriateness, and efficiency of facility healthcare services and procedures. Snapshot of Day to Day Duties and Responsibilities Assisting in the promotion and maintenance of high quality care through the analysis, review, and evaluation of clinical criteria as it relates to patient treatment and length of stay. Reviewing cases for appropriateness of admission, continued stay, and discharge planning. Managing and effectively utilizing insurance benefits through timely prospective, concurrent, and retrospective review activities. Complies with all Administrative, Clinical, and HR policies and procedures. Maintains an awareness of patient funding sources, discharge planning needs, and available resources in order to facilitate continuity of care. Plans and organizes the functions of the facilities Case Management system to minimize denials of payment. Performs prospective, concurrent and retrospective telephonic reviews for inpatient Mental Health and Dual Diagnosis services. Promotes alternative care programs and researches available options including costs and appropriateness of patient placement in collaboration with discharge planners and patients. 0THER REQUIREMENTS : One to three years of experience in utilization review, case management, or discharge planning preferred. Three years of experience in a Behavioral Health facility providing multiple levels of care preferred. Registered Nurse or licensed mental health clinician preferred. Strong communication, documentation, clinical and critical thinking skills essential. Working knowledge of utilization management/ case management preferred. Strong problem solving and decision making skills essential. Strong typing and computer skills essential. We encourage you to apply to become a part of our team as we set out to be the provider of choice for psychiatric care! Lighthouse Behavioral Health Hospital, located near beautiful Myrtle Beach, SC, treats adolescents, adults and senior adults in need of psychiatric services, as well as adults who suffer from a chemical dependency, dual diagnosis, or are in need of rehabilitation. Lighthouse offers 24-hour admissions, needs assessment, and referral services. We offer comprehensive benefits such as: Challenging and rewarding work environment Competitive Compensation & excellent shift differentials Tuition savings to continue your nursing education with Chamberlain University Excellent Medical, Dental, Vision, and Prescription Drug Plan Generous Paid Time Off 401(K) with company match and discounted stock plan Career development opportunities within UHS and its Subsidiaries 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. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $13.4 billion in 2022. 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. Headquartered in King of Prussia, PA, UHS has approximately 94,000 employees and continues to grow through its subsidiaries. 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 Job Requirements: Current license to practice nursing in South Carolina or (eligible to receive or renew). Preferred 1+ year of experience in a psychiatric inpatient setting CPI Certification preferred 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 subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates with matching skillset and experience with the best possible career 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. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail etc. If you feel suspicious of a job posting or job-related email, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449