Universal Health Services, Inc. (UHS) is 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.
Texas NeuroRehab Center (TNC) provides complex medical and brain injury rehab, chemical dependency treatment for adults and neuropsychiatric treatment for youth. The capabilities of the facility as a whole allow for integrated and specialized care for children, adolescents and adults facing difficult challenges.Â
Texas NeuroRehab is currently accepting applications for a Utilization ManagementÂ Manager. The Utilization Management Manager is responsible for planning, directing and overseeing the Medical Hospital Utilization Management department. Responsible for overseeing and leading the work of the medical case management department. Ensures optimal customer satisfaction and resource utilization.Â Ensures that CCM documentation meets requirements of regulatory and licensing groups.Â Ensures the UM plan meets requirements of regulatory and licensing groups.Â Carries Case Management caseload, and provides effective oversight and coordination of assigned cases.
Â KEY RESPONSIBLITIES:
Comply with all Administrative, Clinical, and Human Resources policies and procedures and maintains a safe work environment.
Must actively support the mission, philosophy, and goals for the hospital, including I AM TNC values and 3 goals of Service Excellence.
Must be able to communicate with sensitivity to growth, development, and cultural issues.
Communicates pertinent information to family, payer, and or external case managers.
Assists the treatment team in coordination of patient programs and in developing a discharge plan for each patient.
Maintains an awareness of funding sources needs and status, and initiates appropriate action.
Completes Master Treatment Plans (MTP) and Master Treatment Plan Reviews (MTPRs) promptly and thoroughly.
Supervises, plans, and organizes the functions of the facilityâ€™s Case Management system to minimize denials of payment.
Supervises and evaluates department staff.Completes performance reviews in a timely manner, monitors attendance, and monitors compliance with annual training.
Recruit, interview, hire and retain qualified staff in the department.
Formalizes the Utilization Management Program and establishes performance improvement goals and outcome indicators.
Reviews payer contracts and regulatory requirements on an on-going basis, updates pertinent policies and procedures, and trains staff on special requirements.
Manage outside procedure costs effectively.
Assumes responsibility for own professional growth.
Attends required meetings as scheduled.
Maintains professional demeanor in dress, attitude, support of unit milieu, and hospital mission and philosophy.