Lead Utilization Review Coordinator

Responsibilities

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

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 relate d illnesses.

http : / / threeriversmidlands.org /

The Lead Utilization Review Coordinator Key Responsibilities include :

The Lead Utilization Review (UR) Coordinator provides precertification 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 obtain correct information to complete precertification as well as appeals. Manage day-to-day activities of Utilization Review department. Demonstrates ability to ensure verification of insurance on all cases. Assist Admissions in education of staff related to precertification / authoriztions. Maintain up to date detail list of Insurance companies, along with how to verify and obtain precertification for each. Maintains 24 hours / day, 7 days / week availability for facility needs based upon AOC Calendar; appoints a designee in the event of non-availability. Other job duties as assigned.

This is a Full Time Day Position, 8 : 30am - 5 : 00pm.

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 $15.8 billion in 2024. UHS was again recognized as one of the World's Most Admired Companies by Fortune; listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 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. www.uhs.com

Qualifications

Position Requirements :

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

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