Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Utilization Review Social Worker with Ogden Regional Medical Center you can be a part of an organization that is devoted to giving back!
Job Summary and Qualifications
The Mental Health Professional/Utilization Review role primarily involves reviewing medical records and treatment plans to ensure patients receive the best care to optimize reimbursements. Will initiate review requests that require additional expertise to determine admission status, and perform concurrent and retrospective reviews. The role will assess medical necessity, evaluate treatment plans, coordinate care, monitor patient progress, and ensure compliance.
As a Mental Health Professional, the applicant will also deliver exceptional psychiatric treatment to patients and their loved ones. The position prioritizes the satisfaction of their patients by offering patient-centered and high-quality care. The responsibilities include evaluations, psycho-education, group activities, planning for treatment, mapping out discharge, and providing therapeutic counseling help. They work to produce positive outcomes for their patients by using verified techniques in one-on-one, family, and group counseling sessions.
What will you do in this role:
- Maintains effective communication with patients, families, multidisciplinary teams, and continuum of care providers.
- Maintains professionalism and uses good communication skills to interact with peers, staff, patients, and families, and resolve conflicts.
- Demonstrates knowledge of and ability to maintain clear professional boundaries with peers, patients, and families.
Provides education and guidance about state commitment processes, abuse reporting requirements, the duty to warn, and guardianship processes. - Demonstrates knowledge and role in hospital codes.
- Serves as an educational resource to patients, families, interdisciplinary team members, payer representatives, and other parties as appropriate about behavioral services.
- Reviews, coaches, and helps with the training of new staff/interns as assigned within approved practice and program guidelines. Participates in developing department goals and clinical programming.
- Performs utilization review as assigned.
- Helps with Process and Quality Improvement initiatives.
What qualifications you will need:
- Basic Cardiac Life Support must be obtained within 30 days of employment start date
- Nonviolent Crisis Intervention must be obtained within 60 days of employment start date
- Masters Degree
- (LMSW/RCSW-I) Lic Master Social Worker/Reg Clin SW-Intern, or (LPC/LMHC) Licensed Professional/Mental Health Counselor, or (LCSW) Clinical Social Worker, or (LMFT) Licensed Marriage and Family Therapist
Benefits
Ogden Regional Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
- Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
- Wellbeing support, including free counseling and referral services
- Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
- Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
- Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
- Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
Ogden Regional Medical Center has been delivering exceptional care for over 75 years. Our 230 plus bed hospital offers a full array of medical services. We are dedicated to providing high-quality healthcare. Ogden Regional is a certified Level II Trauma Center, Stroke Center, and Joint Center.
Affiliated with our hospital is Pleasant View Emergency Center. This fully equipped, freestanding facility features board-certified physicians. Our nurses and technicians are specially trained in emergency medical care and available on a 24/7 basis.
Located 10 miles north of our main hospital, PVER features 10 plus treatment rooms, comprehensive imaging technology and a medical laboratory onsite, which help to ensure accurate and prompt care.
Ogden Regional Medical Center and Pleasant View Emergency Center sit at the heart of the Wasatch Mountain range. The area has abundant outdoor recreation including hiking, biking, rock climbing, watersports and three ski resorts within a half-hour drive; Ogden offers the lure of outdoor living and the culture of city life.
HCA Healthcare has been recognized as one of the World Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
Be a part of an organization that invests in you! We are reviewing applications for our Utilization Review Social Worker opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
