Lead Utilization Review Coordinator
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) for ages 6‑21, addressing a wide spectrum of psychiatric issues, addictive behaviors, and chemical dependency related illnesses.
For more information, visit https://threeriversmidlands.org .
Key Responsibilities
Provide precertification and verification of benefits for incoming residents.
Coordinate utilization management for resident caseloads in collaboration with the interdisciplinary treatment team and managed‑care companies.
Complete insurance verification from various payors and obtain correct information for precertification and appeals.
Manage day‑to‑day activities of the Utilization Review department.
Ensure verification of insurance on all cases and assist Admissions staff with precertification/authorization education.
Maintain up‑to‑date details of insurance companies and verification procedures.
Maintain 24/7 availability for facility needs based on the AOC calendar; appoint a designee when unavailable.
Schedule
Full‑time day position: 8:30 am – 5:00 pm.
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
Universal Health Services, Inc. (UHS) is one of the nation’s largest and most respected providers of hospitals and health‑care services, with annual revenues of $15.8 billion in 2024 and a Fortune 500 status. UHS has approximately 99,000 employees and operates across hospitals, behavioral‑health facilities, outpatient facilities, ambulatory‑care access points, an insurance offering, a physician network, and related services located throughout the United States, Washington, D.C., Puerto Rico and the United Kingdom.
Qualifications
Bachelor’s Degree in Health and Human Services or a related field required; Master’s degree preferred.
Minimum one year in a behavioral‑health or health‑care setting preferred.
Valid South Carolina driver’s license required.
Ability to work in a fast‑paced environment.
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
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