Utilization Review Coordinator

Universal Health Services; West Columbia (SC); On-site; USD 50,000 - 70,000; Full time

Benefits offered by this job

Competitive Compensation & Generous Paid Time Off

Excellent Medical, Dental, Vision and Prescription Drug Plans

401(K) with company match

Career development opportunities

Job summary

A healthcare provider in West Columbia is seeking a dynamic and talented Full-time Utilization Review Coordinator. In this role, you will provide pre-certification and verification of benefits for incoming residents, coordinating with treatment teams and ensuring compliance with insurance requirements. The ideal candidate will hold a Master's Degree in Health and Human Services and have experience in a behavioral healthcare setting. This position offers a rewarding work environment and competitive benefits.

Qualifications

• Master's Degree in Health and Human Services or similar field required.
• Minimum one year in behavioral health/healthcare setting preferred.
• Valid SC Drivers License required.

Responsibilities

• Provides pre-certification and verification of benefits for residents.
• Coordinates utilization management functions through collaboration.
• Completes insurance verification and obtains information for pre-certification.

Skills

Knowledge of therapeutic relationships

Ability to work in a fast-paced environment

Understanding adolescent growth and development

Education

Master's Degree in Health and Human Services

Job description

Overview

Three Rivers Midlands is a comprehensive behavioral health facility treating children and adolescents through residential and Rehabilitative Behavioral Health Services (RBH). We treat males and females ages 6-21 for a wide spectrum of psychiatric issues, addictive behaviors, and chemical dependency related illnesses.

http://threeriversmidlands.org /

Job Summary

Three Rivers Midlands is seeking a dynamic & talented Full-time Utilization Review Coordinator.

Key Responsibilities

The Utilization Review (UR) Coordinator provides pre-certification and verification of benefits for incoming residents. Coordinates the utilization management functions of a resident caseload through collaboration with the interdisciplinary treatment team and performance of reviews, with external review organizations/managed care companies. Completes insurance verification from various payors and obtains correct information to complete pre-certification as well as appeals.

This is a Full Time Day Position, 8:00am - 4:30pm.

Benefit Highlights

• 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
• Career development opportunities within UHS and its 300+ Subsidiaries!

About Universal Health Services

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 were $13.4 billion in 2022. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 94,000 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 all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.

Qualifications

Position Requirements:

• Master's Degree in Health and Human Services or similar field required, but strongly prefer Master's Degree in Health and Human Services Field
• Minimum (1) one year in a behavioral health/healthcare setting preferred.
• Valid SC Drivers License required
• Requires ability to work in a fast-paced environment
• Must possess knowledge of therapeutic relationships, therapeutic processes, adolescent growth and development, limit-setting and behavior management

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.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.