Utilization Review Coordinator - Behavioral Health Setting

Responsibilities Centennial Peaks Hospital has been providing psychiatric services to the Denver-metro area for more than 30 years. Located in beautiful Louisville, CO, our 104-bed facility provides a peaceful setting for those seeking treatment for mental illness including chemical dependency. Centennial Peaks offers unique and individualized programming for adults that sets us apart from many other treatment facilities. Our dynamic leadership team includes a seasoned nursing department. Our hospital is fortunate to provide Electroconvulsive Therapy, Intensive Outpatient and Partial Hospitalization Programs in addition to inpatient services. website: centennialpeaks.com The Utilization Review Coordinator possesses knowledge of psychiatric clinical diagnosis and the ability to articulate those indicators professionally. The UM Coordinator manages medical necessity by evaluating the patient medical records to determine severity of patient’s illness and determining the appropriateness of level of care. Serves as liaison for patients and hospital with insurance companies. Negotiates and advocates for patient length of stay and level of care. Oversees utilization review activities with other departments to ensure reimbursement for services provided by the hospital. The UM Coordinator leads physician daily treatment team meetings, manages authorizations and reviews for outpatient programming and at time of admission is responsible for obtaining the precertification. The UM coordinator must be able to work with the business office and admissions departments to complete preliminary verification of benefits. The UM Coordinator has a working knowledge of all levels of care offered and appropriately manages patient benefits. Benefit & Reward 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 stockplan Basic life and Supplemental Life Insurance Short- and Long-TermDisability Dependent Life Insurance Flexible Spending Account Student Loan Assistance Tuition Assistance SoFiStudent Loan Refinancing Program Accident and Critical illness Insurance Company-wide Discount Program PetInsurance On-site cafeteria Hot meals for purchase at discounted prices Career development opportunities within UHS and its 300+ Subsidiaries! More information is available on our Benefits Guest Website: UHS Benefits Service Center (ehr.com) 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 during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World's Most Admired Companies and in 2025, was listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 101,500 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 in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit Qualifications Requirements Bachalor's prepared healthcare professional (Counseling, Psychology, or Social Work) required or RN with direct experience. -Masters Preferred Valid RN license, LCSW, or LPC preferred. A minimum of 3-5 years direct psychiatric patient care experience. Must possess knowledge of psychiatric care, utilization review, insurance reimbursement procedures, DSM-V, etc. Advanced computer skills necessary. Strong analytical, organizational, verbal and written skills required. #J-18808-Ljbffr Universal Hospital Services Inc.