Utilization Review Coordinator - Behavioral Health Setting

Universal Health Services, Inc.; Highlands Ranch (CO); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Tuition reimbursement

Student loan repayment

Career development

Paid time off

Medical/dental/vision plans

Pet insurance discounts

401(k) with company match

Stock plan

Job summary

Highlands Behavioral Health System in Littleton, CO seeks an onsite Utilization Review Coordinator with psychiatric clinical knowledge. You will evaluate medical necessity, determine level of care, and coordinate with patients, hospital departments, and insurance providers to optimize authorizations and benefits.

The role requires 3–5 years in psychiatric patient care and advanced computer skills, with RN, LCSW, or LPC credentials preferred. A proactive communicator will thrive here.

Qualifications

• Masters prepared healthcare professional (Counseling, Psychology, or Social Work) required or RN with direct experience.
• Valid RN license, LCSW, or LPC preferred.
• A minimum of 3-5 years direct psychiatric patient care experience.
• Must possess knowledge of psychiatric care, utilization review, insurance reimbursement procedures, DSM-V, etc.

Responsibilities

• Evaluate patient records to determine medical necessity and level of care.
• Serve as liaison for patients and hospital with insurance companies.
• Negotiate and advocate for patient length of stay and level of care.
• Oversee utilization review activities with other departments to ensure reimbursement.
• Lead physician daily treatment team meetings and manage authorizations.
• Obtain precertification at admission.
• Coordinate with business office and admissions for preliminary verification of benefits.
• Manage patient benefits across levels of care.

Skills

Knowledge of psychiatric care

Utilization review

Analytical skills

Organizational skills

Verbal & written communication

Education

Masters prepared healthcare professional

RN license/LCSW/LPC preferred

Tools

Advanced computer skills

Job description

Responsibilities

This position is required to be onsite!

Highlands Behavioral Health System is an 86 bed, acute care psychiatric hospital located in Littleton, CO. Highlands features individual units for adults, and seniors, and offers inpatient acute care, partial hospitalization, and intensive outpatient programs.

Website: https://highlandsbhs.com

The Utilization Review Coordinator possesses knowledge of psychiatric clinical diagnosis and the ability to articulate those indicators professionally. The UM Coordinator manages medical necessity by evaluating the patient medical records to determine severity of patient’s illness and determining the appropriateness of level of care. Serves as liaison for patients and hospital with insurance companies. Negotiates and advocates for patient length of stay and level of care. Oversees utilization review activities with other departments to ensure reimbursement for services provided by the hospital. The UM Coordinator leads physician daily treatment team meetings, manages authorizations and reviews for outpatient programming and at time of admission is responsible for obtaining the precertification. The UM coordinator must be able to work with the business office and admissions departments to complete preliminary verification of benefits. The UM Coordinator has a working knowledge of all levels of care offered and appropriately manages patient benefits.

Benefit & Reward Highlights

• Tuition and Educational Reimbursement Program.
• Student Loan Repayment Program.
• Challenging and rewarding work environment
• Career development opportunities
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• Discounts on pet insurance, automotive insurance & homeowners insurance
• 401(K) with company match and discounted stock plan
• SoFi Student Loan Refinancing Program

Questions or concerns? Contact the Human Resources department at [e-mail].

Screening of applications begins immediately and continues until the position is filled.

Qualifications

Requirements:

• Masters prepared healthcare professional (Counseling, Psychology, or Social Work) required or RN with direct experience.
• Valid RN license, LCSW, or LPC preferred.
• A minimum of 3-5 years direct psychiatric patient care experience.
• Must possess knowledge of psychiatric care, utilization review, insurance reimbursement procedures, DSM-V, etc. Advanced computer skills necessary. Strong analytical, organizational, verbal and written skills required.

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 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.

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.