The Utilization Management Coordinator is a full-time role responsible for managing case reviews, ensuring medical necessity, and collaborating with care teams to optimize resource use in a behavioral health setting.
Key duties include conducting admission and continued stay reviews, obtaining certifications, identifying documentation issues, and assisting in appeals to recover denials. The role involves working closely with medical staff and insurance companies to support appropriate patient care and reimbursement.
Qualifications include a bachelor’s degree in a related field or an associate degree in nursing, with experience in case management and inpatient psychiatric care preferred. Certifications like CPR and hospital de-escalation are required. The position offers competitive benefits, career growth opportunities, and a supportive work environment.
Founded in 1979 by our Chairman and CEO Alan B. Miller, Universal Health Services, Inc. (NYSE: UHS) is one of the largest and most respected hospital management companies in the nation. A pioneer and leader in our industry, UHS attributes our longevity and success to our unwavering commitment to putting patients first in all the communities we are proud to call home.
UHS and our affiliates provide high quality, compassionate care across 320+ acute care hospitals, behavioral health and residential treatment facilities and outpatient care centers across the U.S., Puerto Rico and then United Kingdom. UHS strives to be the provider and employer of choice in every community we call home and we are committed to continually enhancing our programs and service offerings. To this end, UHS invests hundreds of millions annually (and well over $1 billion in the past three years) in facility and technology upgrades to drive innovation, improve safety and optimize the patient experience. We are also proud to provide millions in uncompensated and charity care annually.