Behavioral Utilization Review Jobs in Indiana (NOW HIRING)

Responsibilities

Program Secretary- Behavioral Health

Horizon Health is seeking a program secretary to work at Johnson Memorial Hospital in Franklin, IN. The Program Secretary is responsible for the Behavioral Health Program’s daily administrative duties and providing assistance to the Behavioral Health Program Director. The Program Secretary also has responsibility for performing Human Resources related duties such as applicant tracking and onboarding.

Responsibilities:

• Answers the phone, responding to all requests for information
• Schedules Unit assessments, meetings and appointments as appropriate
• As assigned, greets visitors, patients, and their families coming to the Unit
• Manages all CQI+ paperwork, submission, data entry, communication and audits
• Maintains new hire packet documents and distributes as required
• Responds to all intake calls; records information on intake form to pass on to the Clinical Access Coordinator
• Manages HBIPS data auditing and collection including monthly audits of patient charts (EMR) and data entry into MHO database. Reports to director any potential shortcomings found to the Program Director
• Keeps materials organized and available with required information regarding unit activities. Such materials involve staff development, shift assignment reports, nightly chart audit, daily safety reports, SECURE training, incident reports
• Inputs daily census into HorizonPlus. Enters required data into HorizonPlus system and generates monthly reports to track and trend referral, admission and discharge data.  Utilizes data to complete program’s key statistical reports and generates reports as needed for the SVPO, VPCE, program director and client hospital leadership when requested
• Utilization Review: initiates pre-certification calls for private insurance and managed Medicare and Medicaid plans.  Also provides concurrent reviews throughout the patient’s stay.  Tracks utilization review outcomes  Manages insurance appeal process and works with hospital Denial Management Coordinator
• Aids in the admission process by coordinating with business and admitting offices. Gathers relevant descriptive and financial information as needed and routes information to appropriate personnel
• Strives to make productive use of time through careful coordination of assigned tasks, setting priorities, and reducing non-essential interruptions in order to be responsive to the needs of the Units and the Program Director.
• Promotes and develops positive, professional interaction with peers, senior management, and staff through effective written and verbal communication, listening, and feedback in times of organizational change
• Reviews newly admitted patient accounts for eligibility and authorization daily. Corrects issues identified and reports errors to the Program Director
• Assists in submission of reports and requests for documents from various regulatory agencies; re: PA Dept. of Health, CAP and Joint Commission
• Regularly collects data to provide input and/or feedback to appropriate customers/suppliers (i.e., teams, supervisors, co-workers, vendors, nursing agencies) to improve work
• Manage all aspects of HBIPS data auditing and collection including monthly audit of patient charts (EMR) and data entry into MHO database. Report any concerns to the Program Director
• Classifies, sorts and files correspondence, records and other documents
• Orders all office supplies
• Oversees all maintenance on office related equipment
• Other duties as assigned

Benefit Highlights for full-time positions:

• Competitive Compensation
• Excellent Medical, Dental, Vision, and Prescription Drug Plan
• 401(K) with company match and discounted stock plan
• Long and Short-term Disability
• Flexible Spending Accounts; Healthcare Savings Account
• Life Insurance
• Career development opportunities within the company
• Tuition Assistance
• Rewarding work environment – Enjoy going to work every day!

Who we are & where you can make a difference:  

Quality care is our passion; improving lives is our reward.  Horizon Health, a subsidiary of Universal Health Services, is a leading behavioral services management company. Horizon Health Behavioral Health Services has been leading the way in partnering with hospitals to manage their behavioral health programs for over 40 years. With an unparalleled breadth of services, Horizon Health has singular expertise in behavioral health conditions and comprehensive care settings. Whether it involves the planning, development and implementation of a new behavioral health service line, or the successful management of an existing behavioral health service, Horizon Health has extensive expertise in successfully addressing concerns unique to hospital-based programs.

About Universal Health Services:

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.

For more information about the position, contact Courtney Eble, Healthcare recruiter, at courtney.eble@horizonhealth.com

Qualifications

• High School or GED required
• 1-5 years of experience in a similar position and/ or industry
• Proficient in Software applications
• Valid driver's license and use of an automobile required

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.

Avoid and Report Recruitment Scams

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries.  During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email.  Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement.  We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

Qualifications:

• High School or GED required
• 1-5 years of experience in a similar position and/ or industry
• Proficient in Software applications
• Valid driver's license and use of an automobile required

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.

Avoid and Report Recruitment Scams

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries.  During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email.  Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement.  We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

Education:UNAVAILABLEEmployment Type: FULL_TIME