UR COORDINATOR

Spring Mountain Treatment Center; Las Vegas, Northern (NV, KY); On-site; USD 30,000 - 43,000; Full time

Benefits offered by this job

Competitive compensation

Generous PTO

Medical/Dental/Vision

401K with match

Career development opportunities

Job summary

Spring Mountain Treatment Center is seeking a dynamic full-time Utilization Review Coordinator to optimize reimbursement and ensure medical necessity across inpatient services. You will liaise with managed care organizations and clinical staff to coordinate authorizations, reviews, and discharge planning.

In this role, you will monitor length of stay, gather data, and support staff with documentation, charting, and pre-certifications.

Qualifications

• Bachelor's degree in nursing, social work, psychology, health information management or related healthcare field required.
• Knowledge of health care service delivery systems and third party reimbursement.
• Knowledge of insurances and experience with authorizations required.
• Must be conversant with the principles of Utilization Review and Quality Assurance.

Responsibilities

• Act as a liaison between managed care organizations and facility staff.
• Conduct reviews of insurance plans and coordinate reimbursement communication.
• Monitor patient length of stay and inform staff on related issues.
• Gather statistics and narratives on utilization, discharges, and quality of services.
• Conduct quality reviews for medical necessity and services provided.
• Facilitate peer review calls with 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 training for staff on documentation and charting requirements.
• Performs other duties as assigned/required by this position.

Skills

Utilization Review

Healthcare reimbursement

Communication skills

Team coordination

Education

Bachelor's degree in nursing

Bachelor's degree in social work

Bachelor's degree in psychology

Health information management

Masters 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 its inception into an esteemed Fortune 500® corporation, annual revenues during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World’s Most Admired Companies™ and in 2025, was listed in Forbes ranking of America’s Largest Public Companies.

Headquartered in King of Prussia, PA, UHS has approximately 101,500 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit www.uhs.com.

Minimum: 26.45/hr

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.