Utilization Review Coordinator

UHS • West Columbia, SC

3h • Onsite

About The Position

Three Rivers Behavioral Health is a 136-bed treatment facility specializing in quality behavioral health and substance abuse services for adolescents and adults. It offers a full continuum of care through inpatient, partial hospitalization, and intensive outpatient programs. Located in West Columbia, SC, the team of 300+ employees describes the atmosphere as "family atmosphere," "supportive leadership," and "life-changing." This position provides precertification and verification of benefits for incoming patients, coordinates utilization management functions, and collaborates with the interdisciplinary treatment team and external review organizations. Universal Health Services, Inc. (UHS), one of the nation’s largest providers of hospital and healthcare services, is the parent company, with annual revenues of $15.8 billion in 2024 and approximately 99,000 employees across various facilities in the U.S., Washington, D.C., Puerto Rico, and the United Kingdom.

Requirements

• Masters’ degree in a recognized mental health field or Registered Nurse.
• Minimum of two years psychiatric experience in chart analysis and in the utilization review field.
• Excellent oral and written communication skills required in order to communicate in a clear and concise manner with patients, physicians, staff and payors.
• Knowledge of external review organizations, payor sources, financial planning and contracting (i.e., managed care, Medicare, Medicaid, etc.)
• Must be able to work in a fast-paced environment with frequent interruptions.

Responsibilities

• Provides precertification and verification of benefits for incoming patients.
• Coordinates the utilization management functions of a patient caseload through collaboration with the interdisciplinary treatment team and performance of reviews, with external review organizations/managed care companies.
• Discuss with patient various forms and obtain signatures from the patients.
• Complete insurance verification from various payors and obtain correct information to complete precertification as well as appeals.

Benefits

• Career development opportunities across UHS and our 300+ locations!
• Diverse programming to expand your experience
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• Employee Assistance Program
• 401(K) with company match and discounted stock plan
• Pet Insurance
• SoFi Student Loan Refinancing Program
• Tuition Assistance
• Employee Referral Program

What This Job Offers

• Career Level: Mid Level
• Number of Employees: 501-1,000 employees