Utilization Review; UR​/Utilization; UM Coordinator

Responsibilities

Utilization Review (UR) / Utilization Management (UM) Coordinator (Licensed Therapist or RN)

The Utilization Review / Utilization Management Coordinator works closely with the other staff of Utilization Review/Management, Intake, Business Office, Medical Records, Clinical Staff, Nursing, and providers to coordinate and communicate patient information to insurance companies for the assignment of benefits.

• Performs clinical reviews over the telephone and electronically.
• Utilizes ASAM criteria (DSM-V) to determine appropriateness of admission, continued stay, discharge criteria and identifies high-risk cases.
• Adheres to accrediting and regulatory agency requirements in maintaining records to ensure compliance.

Apply online at

Interested in relocating to our community? Learn more about the city of Moultrie and Colquitt County here:

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Centrally located in South Georgia, our facility is 30 minutes from I-75, 1.5 hours north of Tallahassee, FL, 3 hours south of Atlanta, GA, and 2.5 hours west of Jacksonville, FL. Our employees reside in Moultrie or surrounding communities including Albany, Tifton, Thomasville, and Valdosta, GA.

Join our team and discover a rewarding, fulfilling career.

Turning Point Care Center, LLC

For more than 39 years, Turning Point Care Center has provided a place of healing and hope to adults who suffer from behavioral health disorders and/or substance abuse. We are committed to providing quality behavioral health care through our inpatient and outpatient gender specific programs in Moultrie, GA. Our serene, rural setting gives patients a secure environment where they can build their foundation for lifelong recovery.

We believe in creating healthy communities, which start with healthy individuals, linked through sound relationships to their families, friends, neighbors and peers.

Quality Healthcare is our passion, improving lives is our reward. We are working to change lives and transform the delivery of healthcare. Visit our website at  to learn more.

We offer a competitive and comprehensive benefits program including:

• Medical
• Dental
• Vision
• Life Insurance
• Flexible Spending Accounts
• Health Savings Accounts
• Short and Long Term Disability
• 401K with match
• Employee Stock Purchase Plan
• and additional voluntary benefits and discounts. (Even Pet Insurance!)

Additional benefit details provided at  Choose “I am a Guest” to view options designed to enhance and promote our employees’ health and wellbeing.

• Licensure through state composite board for nursing or counseling/therapy:
  • Minimum RN, LMSW, LAPC,LAMFT
  • Preferred BSN, MSN, LCSW, LPC,LMFT
• Three (3) years of experience in chart analysis, utilization review, medical/clinical terminology, and acuity of illness
• Knowledge and understanding of a variety of insurances including:
  Traditional Medicare, Medicare Advantage Plans, and Commercial Plans
• Knowledge and experience with chemical dependency programs, mental health programs, situational evaluations, and crisis intervention, preferred.

This opportunity offers the following:

• CEUs required for biannual licensure for Therapists (provided for free without having to use leave to attend)
• Rewarding work environment
• Growth and Development Opportunities within UHS and its 300+ Subsidiaries
• Excellent Medical, Dental, Vision and Prescription Drug Plan
• 401k plan with company match and discounted stock plan
• SoFi Student Loan Refinancing Program

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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 steadily since its inception into an esteemed Fortune 300 corporation, annual revenues were $15.8 billion in 2024. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune;

and listed in Forbes ranking of America’s Largest Public Companies.

Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities…