Utilization Review Coordinator

Utilization Review Coordinator

Mountain Youth Academy is nestled in Mountain City, Tennessee which is a short commute from Johnson City, TN, Boone, NC, and Abingdon, VA. We are a 120-bed residential treatment facility and assist in the evaluation, diagnosis, and treatment of a wide range of behavioral health issues for our young adolescent patients. We are seeking a meticulous and compassionate Utilization Review Coordinator to join our team.

This position plays a vital role in ensuring our students receive uninterrupted insurance coverage by coordinating timely insurance reviews, maintaining utilization management records, and serving as a liaison between insurance providers, referral sources, and internal departments. The ideal candidate is highly organized, possesses excellent communication and customer service skills, and thrives in a fast-paced healthcare environment.

What You'll Do:

• Submit initial and concurrent insurance reviews to ensure continued authorization and coverage.
• Complete insurance eligibility verifications twice monthly.
• Coordinate daily and weekly admission and discharge utilization processes.
• Maintain utilization management databases and spreadsheets.
• Prepare weekly, monthly, and quarterly utilization reports, including reports for the Utilization Management Committee.
• Communicate effectively with insurance representatives, referral sources, and internal leadership.
• Participate in monthly Zoom meetings and other department meetings.
• Perform additional duties as assigned.

Qualifications:

• High school diploma or GED.
• 1+ year(s) of related administrative or healthcare experience.
• Strong computer proficiency, including Microsoft Office (Excel and Word).
• Excellent verbal and written communication skills.
• Strong customer service and organizational skills.
• Experience navigating multiple web-based portals.
• Knowledge of insurance authorization processes is preferred.

Why Join Mountain Youth Academy?

At Mountain Youth Academy, every team member plays an important role in helping young people receive the care they need. We foster a collaborative environment built on professionalism, accountability, teamwork, and exceptional service. If you're looking for a meaningful career where your work directly supports patient care and organizational success, we'd love to hear from you.

Physical Requirements:

This position is primarily sedentary and requires prolonged sitting and frequent keyboard use. Occasional standing and walking are required.

Additional Benefits:

• 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!
• Free Meals
• Attendance Incentives
• Shift Differential Pay
• Tuition Reimbursement

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.

Pay Transparency:

To encourage pay transparency, promote pay equity, and proactively address regulations, UHS and all our subsidiaries will comply with all applicable state or local laws or regulations which require employers to provide wage or salary range information to job applicants and employees.