Universal Health Services

Manages hospitals and behavioral health facilities

Utilization Review Coordinator

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours

Full-timeForest Park, IL, USANo salary listedIn-person

About the Job

Requirements

A bachelor's degree is required.
An appropriate background in the mental health field is required to organize and achieve quality performance with a focus on securing reimbursement for the organization.
In-depth knowledge of funding sources and government reimbursement protocols is required.
A minimum of 2–3 years of supervisory experience is required.
Thorough understanding of managing Utilization Management data obtained from admissions, concurrent reviews, and appeals using Severity of Illness/Intensity of Service criteria is required.
Knowledge of The Joint Commission, Centers for Medicare & Medicaid Services, the Illinois Mental Health Code Act, and other relevant state and federal regulatory standards is required.
Strong verbal and written communication skills are required.

Responsibilities

Oversee the daily activities of Utilization Management staff, including assigning and scheduling work; reviewing and approving documentation and reports; advising and mentoring staff; and overseeing operational procedures involving work processes, forms, and billing.
Assist with hiring, coaching, and counseling staff and ensure compliance with internal policies and external governmental and regulatory agencies.
Conduct Utilization Management Committee meetings, staff meetings, and in-services, and participate in performance-improvement teams.

Desired Qualifications

A master's degree is preferred.

Responsibilities

Shape the future of behavioral health care throughout the Forest Park community by joining our extraordinary team at Riveredge Hospital. Bring your compassion, expertise, enthusiasm, and passion for quality to a place that cultivates wellness and inspires hope.

We are currently seeking an Utilization Management Coordinator position for Riveredge Hospital. Simply apply to the posting and discuss your interests with the hiring manager if you are selected to come in for an interview.

The Utilization Management Coordinator position oversees the daily activities of the Utilization Management staff including but not limited to assigning and scheduling; reviewing and approving documentation and reports; advising and mentoring UM staff; and overseeing operational procedures involving work processes, forms, and billing. Assists with hiring, coaching, and counseling staff and compliance with internal policies and outside governmental and regulatory agencies. Conducts the Utilization Management Committee meetings, staff meetings, in-services, and participates in performance improvement teams.

Qualifications

Must have a Bachelor’s degree, Master’s degree preferred.
Must have an appropriate background in the mental health field to organize and achieve quality performance with a focus on securing reimbursement for the organization.
Possess an in depth knowledge of funding sources and government reimbursement protocols.
A minimum of 2-3 years supervisory experience.
Thoroughly understands the management of UM data obtained from admission, concurrent reviews and appeals utilizing the Severity of Illness/Intensity of Service Criteria.
Has knowledge of JC, CMS, Illinois Mental Health Code Act, and all other relevant state and federal regulatory standards.
Possesses strong verbal and written communication skills.

About the Company

Universal Health Services

Manages hospitals and behavioral health facilities

Universal Health Services operates a network of acute care hospitals, behavioral health facilities, and ambulatory centers across the United States. It generates its services by acquiring and managing healthcare facilities, then integrating them under centralized operating practices to deliver patient care. The company’s offering is the management and provision of hospital and behavioral health services, with a focus on standardized clinical operations, economies of scale, and nationwide coverage. What sets UHS apart is its long history of growth through acquisitions, its size and scale in both acute and behavioral health markets, and its ability to integrate new facilities while maintaining consistent care quality. Its goal is to provide high-quality healthcare across a broad network, improve patient outcomes, and sustain long-term value for shareholders by expanding access and efficiency in hospital and behavioral health services.

Company size: 10,001+
Company stage: IPO
Headquarters: Upper Merion Township, Pennsylvania
Founded: 1978

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