Utilization Review Coordinator

Responsibilities

Now Hiring: Utilization Review Coordinator
Mountain Youth Academy is nestled in Mountain City, Tennessee, offering a short commute to Johnson City, TN, Boone, NC, and Abingdon, VA. We are a 120-bed residential treatment facility that evaluates, diagnoses, and treats 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.

• Submit initial and concurrent insurance reviews to ensure continued authorization and coverage.
• Complete insurance eligibility verifications twice monthly.
• Cook up 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.
• Minimum 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.

About 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

About Universal Health Services

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 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.

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. Salary offers may be based on key factors such as education and related experience.