UR COORDINATOR

Universal Health Services; Las Vegas (NV); On-site; USD 30,000 - 43,000; Full time

Benefits offered by this job

Challenging work environment

Competitive compensation

Generous paid time off

Medical, dental, vision and Rx plans

401(k) with company match

Career development within UHS

Job summary

Universal Health Services (UHS) operates Spring Mountain Treatment Center, a 110-bed inpatient mental health facility. We seek a full-time UR Coordinator to monitor utilization, assist with pre-certifications, and support clinical staff in reimbursement and admission processes.

The role emphasizes collaboration with managed care organizations, adherence to validation standards, and ongoing staff training on documentation and medical necessity updates. Competitive benefits apply.

Qualifications

• Bachelor's degree in nursing, social work, psychology, health information management or related healthcare field.
• Masters degree preferred.
• Knowledge of health care service delivery systems and third party reimbursement.
• Knowledge of insurances and experience with authorizations.
• Understanding admission and discharge functions.
• Familiar with Utilization Review and Quality Assurance.
• Ability to follow written and verbal instructions.
• Good communication skills.
• Follow hospital rules, regulations and policies.
• New hires attend 1 full week of New Employee Orientation on day shift.

Responsibilities

• Acts as liaison between managed care organizations and facility clinical staff.
• Conduct reviews of insurance plans with certification requirements and coordinate reimbursement communications.
• Monitor patient length of stay and inform staff on issues affecting stay.
• Gather and develop statistical information to report on utilization, non-certified days, discharges and quality of services.
• Conduct quality reviews for medical necessity and services.
• Facilitate peer review calls between facility and external organizations.
• Initiate and complete the formal appeal process for denied admissions or continued stay.
• Assist admissions with pre-certifications of care.
• Provide training on documentation, stay criteria and medical necessity updates.
• Performs other duties as assigned.

Skills

Communication skills

Admission/discharge knowledge

Utilization Review

Quality Assurance

Team leadership

Follow instructions

Background check

Education

Bachelor's degree in nursing/healthcare field

Master's degree preferred

Job description

Responsibilities

Spring Mountain Treatment Center is a 110-bed mental health facility providing acute crisis stabilization services for adults, teens, and children in a secure inpatient setting since 2001. Our individualized treatment includes a structured, therapeutic environment, intensive physician involvement and oversight, and daily group and educational programs. We provide a caring and healthy environment that gives individuals a chance to make positive changes.

Spring Mountain Treatment Center is currently seeking a dynamic professional to join our team as a full-time UR Coordinator. The Utilization Review Coordinator proactively monitors utilization of services for patients to optimize reimbursement for the facility.

Job Duties/Responsibilities

• Acts as a liaison between managed care organizations and the facility professional clinical staff.

• Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements.
• Monitor patient length of stay and extensions and inform clinical and medical staff on issues that may impact length of stay.
• Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office.
• Conduct quality reviews for medical necessity and services provided.
• Facilitate peer review calls between facility and external organizations.
• Initiate and complete the formal appeal process for denied admissions or continued stay.
• Assist the admissions department with pre-certifications of care.
• Provide ongoing support and training for staff on documentation or charting requirements, continued stay criteria and medical necessity updates.
• Performs other duties as assigned/required by this position.

This opportunity offers the following:

• Challenging and rewarding work environment
• Competitive Compensation
• Generous Paid Time Off for full and part-time positions
• Excellent Medical, Dental, Vision and Prescription Drug Plans for full and part-time positions
• 401(K) with company match
• Career development opportunities within UHS and its subsidiaries!

About Universal Health Services, Inc. (UHS)

One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since itsinceptioninto an esteemedFortune500corporation, annualrevenuesduring2025were$17.4billion.In 2026,UHS was again recognized as one ofFortuneWorld's Most Admired Companies and in 2025, waslisted in Forbes ranking of America's Largest Public Companies.

Headquarteredin King of Prussia, PA, UHS has approximately101,500employeesand continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physiciannetworkand various related serviceslocatedin 40U.S.states, Washington, D.C., PuertoRicoand the United Kingdom.Foradditionalinformationvisitwww.uhs.com.

Qualifications

Requirements

• Bachelor's degree in nursing, social work, psychology, health information management or other related healthcare field is required, Masters degree preferred.

• Knowledge of health care service delivery systems and third party reimbursement

• Knowledge of insurances and expeirence with authorizations required.
• Demonstrates clear and consistent understanding of admission and discharge functions.

• Must be thoroughly conversant with the principles of Utilization Review and Quality Assurance.

• Ability to follow both written and verbal instructions
• Understand and honor the established hospital rules, regulations and Policy and Procedures
• Good communication skills, i.e., reading, writing, and speaking
• Ability to follow both written and verbal instructions
• Good leadership qualities which includes self-control, patience, and empathy
• New hires are required to attend 1 full week of New Employee Orientation on day shift, normally 8:00 am - 4:30 pm Monday through Friday
• Must successfully pass background check (includes criminal history, Child Abuse and Neglect Registry, and ABI/FBI fingerprint check)

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.

Minimum: 26.45/hr