Onsite Utilization Coordinator - Behavioral Health

UHS; Lancaster (Lancaster County); On-site; USD 65,000 - 85,000; Full time

Benefits offered by this job

Competitive salary

Comprehensive benefits package

Tuition reimbursement

Job summary

Lancaster Behavioral Health Hospital (LBHH) is seeking an Utilization Management Coordinator to perform daily clinical reviews for authorization across payer types and to collaborate with interdisciplinary teams ensuring timely, thorough documentation. The role requires RN or Social Work licensure and 1–3 years of Utilization Management experience.

This on-site position at LBHH emphasizes coordination of care, payer communication, and detailed Midas record-keeping to support patient treatment

Qualifications

• Bachelor’s degree in psychology or related field; Master’s preferred.
• Registered Nurse or Social Work licensure preferred (RN, LMSW/LPCC/LMHC etc.).
• 1–3 years of Utilization Management experience preferred.

Responsibilities

• Perform daily clinical reviews with all payer types to secure authorization for continued treatment.
• Collaborate with hospital operations to ensure timely documentation aligned with patient conditions.
• Educate and guide on level of care requirements and payer expectations for patient acuity and utilization.
• Ensure denials are followed up weekly with detailed documentation.
• Maintain Midas documentation daily with sufficient detail to ensure payment.

Skills

Communication skills

Team collaboration

Documentation & record-keeping

Education

Bachelor’s degree in psychology or related field

Master’s degree preferred

Tools

Midas documentation system

Job description

Lancaster Behavioral Health Hospital (LBHH) is seeking an Utilization Management Coordinator to perform daily clinical reviews for authorization across payer types and to collaborate with interdisciplinary teams ensuring timely, thorough documentation. The role requires RN or Social Work licensure and 1–3 years of Utilization Management experience.

This on-site position at LBHH emphasizes coordination of care, payer communication, and detailed Midas record-keeping to support patient treatment