Utilization Review Coordinator

Responsibilities Utilization Review (UR) / Utilization Management (UM) Coordinator (Licensed Therapist or RN) The Utilization Review / Utilization Management Coordinator works closely with the other staff of Utilization Review/Management, Intake, Business Office, Medical Records, Clinical Staff, Nursing, and providers to coordinate and communicate patient information to insurance companies for the assignment of benefits. Performs clinical reviews over the telephone and electronically. Utilizes ASAM criteria (DSM-V) to determine appropriateness of admission, continued stay, discharge criteria and identifies high-risk cases. Adheres to accrediting and regulatory agency requirements in maintaining records to ensure compliance. Apply online at turning-point-care-center Interested in relocating to our community? Learn more about the city of Moultrie and Colquitt County here: ; ; . Centrally located in South Georgia, our facility is 30 minutes from I-75, 1.5 hours north of Tallahassee, FL, 3 hours south of Atlanta, GA, and 2.5 hours west of Jacksonville, FL. Our employees reside in Moultrie or surrounding communities including Albany, Tifton, Thomasville, and Valdosta, GA. Join our team and discover a rewarding, fulfilling career. Turning Point Care Center, LLC For more than 40 years, Turning Point Care Center has provided a place of healing and hope to adults who suffer from behavioral health disorders and/or substance abuse. We are committed to providing quality behavioral health care through our inpatient and outpatient gender specific programs in Moultrie, GA. Our serene, rural setting gives patients a secure environment where they can build their foundation for lifelong recovery. We believe in creating healthy communities, which start with healthy individuals, linked through sound relationships to their families, friends, neighbors and peers. Quality Healthcare is our passion, improving lives is our reward. We are working to change lives and transform the delivery of healthcare. Visit our website at to learn more. We offer a competitive and comprehensive benefits program including: Medical Dental Vision Life Insurance Flexible Spending Accounts Health Savings Accounts Short and Long Term Disability 401K with match Employee Stock Purchase Plan and additional voluntary benefits and discounts. (Even Pet Insurance!!) Additional benefit details provided at . Choose "I am a Guest" to view options designed to enhance and promote our employees' health and wellbeing. Qualifications Licensure through state composite board for nursing or counseling/therapy: Minimum RN, LMSW, LAPC,LAMFT Preferred BSN, MSN, LCSW, LPC,LMFT Three (3) years of experience in chart analysis, utilization review, medical/clinical terminology, and acuity of illness Knowledge and understanding of a variety of insurances including: Traditional Medicare, Medicare Advantage Plans, and Commercial Plans Knowledge and experience with chemical dependency programs, mental health programs, situational evaluations, and crisis intervention, preferred. This opportunity offers the following: CEUs required for biannual licensure for Therapists (provided for free without having to use leave to attend) Rewarding work environment Growth and Development Opportunities within UHS and its 300+ Subsidiaries Excellent Medical, Dental, Vision and Prescription Drug Plan 401k plan with company match and discounted stock plan SoFi Student Loan Refinancing Program Apply online at turning-point-care-center 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 From Fortune , 2025, 2026 Fortune Media IP Limited. All rights reserved. Used under license. 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. Avoid and Report Recruitment Scams We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information. At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters. Utilization Review, UR, Utilization Management, UM