Universal Health Services, Inc. (UHS) knows what it takes to lead, inspire and succeed. One of the nationâ€™s largest and most respected hospital companies, UHS owns and operates through its subsidiaries acute care hospitals, behavioral health facilities and ambulatory centers in the United States, Puerto Rico, the U.S. Virgin Islands and the United Kingdom.
UHS built an impressive record of achievement and performance, steadily growing from a startup company with zero revenue into a Fortune 500 corporation with annual revenue that exceeds $8 billion. The company's operating philosophy has proven to be effective: Build or acquire high quality hospitals in rapidly growing markets, then invest in the people and equipment needed to allow each facility to thrive and become a dominant healthcare provider in its community.
Headquartered in King of Prussia, PA, UHS ranks on the Fortune 500 list of America's largest corporations with over 74,000 employees, and is consistently listed among Fortune's "Most Admired Companiesâ€� and one of the 30 Most Meaningful Companies To Work For in America by Business Insider.
As a subsidiary of UHS, Windsor Laurelwood Center in Willoughby, OH is seeking a dynamic and talented PRN Utilization Review Clinician.
Windsor Laurelwood strives to improve the lives of those in our community who are experiencing psychiatric and/or substance use concerns. We provide specialized treatment programs for adults, adolescents and children to address each individualâ€™s needs.
Our mission is to provide healing and recovery through compassionate quality care.
We select the most dedicated, qualified, empathetic employment candidates to become members of our staff. Our excellent care, state-of-the-art therapies and individualized treatment plans for our patients create fulfilling careers for Windsor-Laurelwood staff. At the Windsor-Laurelwood Center for Behavioral Medicine, we work together to provide the skill development, medication and therapies that individuals need to rebuild their lives.
Key Responsibilities include:
The Utilization Review Clinician is responsible for the implementation of case management scenarios, consulting with all services to ensure the provision of an effective treatment plan for all patients. Responds to requests for services and interfaces with managed care organizations, external reviewers and other payers. Assures good customer service practices are utilized. Maintains denials and appeals logs and reviews the progress of all appeals activity.