Lead Utilization Review Coordinator

Join to apply for Lead Utilization Review Coordinator role at Three Rivers Midlands
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Three Rivers Midlands is a comprehensive behavioral health facility treating children and adolescents through residential and Rehabilitative Behavioral Health Services (RBH). We treat males and females ages 6‑21 for a wide spectrum of psychiatric issues, addictive behaviors, and chemical dependency related illnesses.

The Lead Utilization Review (UR) Coordinator provides precertification and verification of benefits for incoming residents, coordinates the utilization management functions of a resident caseload through collaboration with the interdisciplinary treatment team, and performs reviews with external review organizations/managed care companies. The Coordinator completes insurance verification from various payors, obtains correct information to complete precertification and appeals, manages day‑to‑day activities of the Utilization Review department, ensures verification of insurance on all cases, assists Admissions in educating staff related to precertification/authorizations, maintains an up‑to‑date detailed list of insurance companies with verification procedures, and maintains 24/7 availability for facility needs based on the AOC Calendar, appointing a designee in case of non‑availability.

Other job duties as assigned. The position is full‑time, day, 8:30 am – 5:00 pm.

• Challenging and rewarding work environment
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(k) with company match and discounted stock plan
• SoFi Student Loan Refinancing Program
• Career development opportunities within UHS and its 300+ subsidiaries!

Universal Health Services, Inc. (UHS) is one of the nation’s largest and most respected providers of hospital and healthcare services. UHS has built an impressive record of achievement and performance and is headquartered in King of Prussia, PA. UHS has approximately 99,000 employees and operates acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points across the U.S. and internationally.

• Bachelor’s Degree in Health and Human Services or similar field required, strongly prefer Master’s Degree.
• Minimum one year in a behavioral health/healthcare setting preferred.
• Valid SC Driver’s License required.
• Ability to work in a fast‑paced environment.
• Knowledge of therapeutic relationships, therapeutic processes, adolescent growth and development, limit‑setting and behavior management.

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.

During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. If you are suspicious of a job posting or job‑related email mentioning UHS or its subsidiaries, let us know by contacting us at:  or 1‑800‑852‑3449.

• Not Applicable

• Full‑time

• Health Care Provider

• Hospitals and Health Care
• Mental Health Care