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Universal Health Services

Manages hospitals and behavioral health facilities

Director of Utilization Review

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours
Full-timeGulfport, MS, USAIn-person

About the Job

Requirements

  • A bachelor's degree in Nursing is required; a master's degree in a human services field is preferred.
  • At least 2 years of clinical experience and 1 year of management experience with case management and the utilization review process, including concurrent reviews.
  • A current Mississippi license as an RN, LMSW, LMFT, or LPC is required.

Responsibilities

  • Assume responsibility for the functioning of the Utilization Review Department and provide utilization review services consistent with the facility's philosophy and objectives.
  • Evaluate patient medical records to determine illness severity and the appropriateness of the level of care.
  • Serve as a liaison for patients and the hospital with insurance companies.
  • Negotiate and advocate for patient length of stay and level of care.
  • Oversee utilization review activities with other departments to ensure reimbursement for services provided by the hospital.

Desired Qualifications

  • Previous continuum of care experience is highly preferred.

About the Company

Universal Health Services

Manages hospitals and behavioral health facilities

Universal Health Services operates a network of acute care hospitals, behavioral health facilities, and ambulatory centers across the United States. It generates its services by acquiring and managing healthcare facilities, then integrating them under centralized operating practices to deliver patient care. The company’s offering is the management and provision of hospital and behavioral health services, with a focus on standardized clinical operations, economies of scale, and nationwide coverage. What sets UHS apart is its long history of growth through acquisitions, its size and scale in both acute and behavioral health markets, and its ability to integrate new facilities while maintaining consistent care quality. Its goal is to provide high-quality healthcare across a broad network, improve patient outcomes, and sustain long-term value for shareholders by expanding access and efficiency in hospital and behavioral health services.

Company size
10,001+
Company stage
IPO
Headquarters
Upper Merion Township, Pennsylvania
Founded
1978

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