Utilization Review Coordinator - Behavioral Health Setting

Utilization Review Coordinator

This position is required to be onsite! Highlands Behavioral Health System is an 86 bed, acute care psychiatric hospital located in Littleton, CO. Highlands features individual units for adults, and seniors, and offers inpatient acute care, partial hospitalization, and intensive outpatient programs.

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:

• Tuition and Educational Reimbursement Program
• Student Loan Repayment Program
• Challenging and rewarding work environment
• Career development opportunities
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• Discounts on pet insurance, automotive insurance & homeowners insurance
• 401(K) with company match and discounted stock plan
• SoFi Student Loan Refinancing Program

Qualifications Requirements:

• Masters prepared healthcare professional (Counseling, Psychology, or Social Work) required or RN with direct experience.
• 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.

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.

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.