Utilization Review Coordinator
Universal Health Services
Utilization Review Coordinator
Universal Health Services
Manages hospitals and behavioral health facilities
Midwest Center for Youth and Families is seeking caring and compassionate Behavioral Health Workers to join our clinical teams!
Available Hours: 40 hours/week
Midwest Center for Youth and Families (a subsidiary of UHS) has been in operation since 1997, serving youth across the country that are in need of psychiatric treatment for variety of mental health issues. The Midwest Center is a respected healthcare provider, fully accredited, 74-bed private, residential treatment facility with locations in Valparaiso and Kouts, IN.
We are dedicated to care of the hearts and minds of our patients with compassion and superior quality behavioral healthcare services through our full-immersion Dialectical Behavior Therapy (DBT) program for children and adolescents ages 10 - 18 who struggle with emotional, behavioral and mental health challenges.
The Patriot Support Program at Midwest Center offers specialized treatment designed to address the behavioral health needs and challenges of the children of active-duty military, reserve, and national guard members.
Join us as the leaders providing service excellence to patients, their families and each other!
Website: https://midwest-center.com/
Position Summary:
Responsible for ensuring that clinical services provided to patients of the Midwest Center are medically necessary, appropriately authorized, and aligned with payer requirements and the facility’s standards of care. Working closely with clinical, medical, admissions, and billing teams, the coordinator reviews patient records, communicates with managed care organizations and other payers, and secures initial and continued-stay authorizations for treatment. The coordinator translates clinical documentation into clear, criteria-based justifications for level of care, advocates for patients’ continued access to treatment, and manages the appeals and peer-to-peer review process when authorizations are denied or reduced.
This position serves as a key link between clinical care and financial operations. The coordinator monitors lengths of stay, tracks authorization timelines and denials, and identifies documentation gaps, providing feedback and training to treatment staff to strengthen the quality of clinical records. The coordinator also supports discharge and transition planning and contributes to the facility’s quality assurance and compliance efforts.
Job Duties/Responsibilities:
•complete precertification, concurrent, and discharge utilization reviews
•facilitate regulatory compliance by ensuring proper documentation & allocation of treatment resources
•serve as key member of the utilization team, act as a key participant in clinical meetings that drive financial & clinical results
•function as a liaison with physician(s) to align engagement with payer expectations, patient acuity, & discharge planning requirements
•lead payer engagement activities including post payment reviews, payer audit oversight, & denial/appeal oversight
•work with admissions team to ensure school education denials coincide with admit day
Benefit & Rewards Highlights
· Loan Forgiveness Program if offered.
· 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
· Tuition savings to continue your nursing education with Chamberlain University
· Career development opportunities within UHS and its 300+ Subsidiaries!
· Pet Insurance · More information is available on our Benefits Guest Website: benefits.uhsguest.com
About Universal Health Services
Headquartered in King of Prussia, PA, Universal Health Services, Inc. (NYSE: UHS) is one of the nation’s largest and most respected providers of hospital and healthcare services. Since our founding in 1979, UHS has grown steadily into a premier Fortune 500® corporation perennially recognized by multiple esteemed national rating entities. Through its subsidiaries, UHS operates inpatient acute care facilities, inpatient behavioral health facilities, outpatient and other facilities, nationwide virtual behavioral health services, an insurance offering, a physician network and various related services with physical locations in the U.S., Puerto Rico, Ireland and United Kingdom. www.uhs.com.
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Requirements:
·Masters degree in social work, IPMFT, mental health counseling, psychology, or bachelor's in nursing from an accredited school required.
·3 - 5 years of work experience in utilization review or 5 -8 years of work experience as a Therapist is required.
·working knowledge of behavioral health level-of-care criteria, diagnostic classification (DSM-5-TR, ICD-10-CM), & levels of care across the behavioral health continuum required.
·knowledge of payer requirements/authorization, BH operations, & clinical services meeting medical necessity.
·knowledge of HIPAA, confidentiality requirements, & behavioral health regulations.
·Must be 21 years old
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.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set 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.
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.
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