Utilization Review (UR) Coordinator

ResponsibilitiesUniversal Health Services:One of the nation''s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, our annual revenues were $11.4 billion in 2019. In 2020, UHS was again recognized as one of the World''s Most Admired Companies by Fortune; in 2019, ranked 293 on the Fortune 500; and in 2017, listed 275 in Forbes inaugural ranking of America''s Top 500 Public Companies. Headquartered in King of Prussia, PA, UHS has more than 90,000 employees and through its subsidiaries operates 26 acute care hospitals, 328 behavioral health facilities, 42 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 37 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.Kingwood Pines Hospital:Kingwood Pines Hospital is a 116 bed facility located in the beautiful residential Kingwood community. We are located about 30 miles northeast of the Houston Medical Center. The hospital provides 24-hour emergency services. We serve children, adolescents, and adults for psychiatric and behavioral health. The hospital also has services in intensive outpatient and partial hospital program services.here for a virtual Facility TourQualificationsPOSITION SUMMARYThe Utilization Review (UR) Coordinator will perform admission and continued-stay reviews; position also assists with performing discharge planning to patients.KEY RESPONSIBILITIESPerforms reviews for appropriateness of admission and continued stays.Contacts representative soft third-party payers to verify benefit coverage. Obtains coverage for appropriate admission and continued stay relative to patient diagnosis, treatment and progress. Appeals inappropriate reimbursement denials with representatives of third-party payers in light of patient diagnosis, treatment and progress. Demonstrates knowledge of referral sources. Establishes communication with referral sources and outside practitioners to ensure adequate discharge planning. Particpates in unit staffing regularly to expedite discharge planningDocuments details and contacts related to discharge planning and appointments in a timely manner. Maintains communication with AHP, physician''s offices and referral sources. Other job duties as assignedEDUCATIONAssociate degree or equivalent experience in a health care related field. Bachelor''s degree preferred. Knowledge of behavioral health systems and Utilization Management required.EXPERIENCEMinimum of two (2) years professional experience in a health care setting, preferably inpatient. Minimum of two (1) years experience in UR or Case Management.LICENSURE/CERTIFICATION:LPC, LMSW, LVN or RN preferred.Current TX Driver''s License Current CPR (can be obtained on-site upon employment)Current HWC & Verbal De-Escalation (can be obtained on-site upon employment)WHAT DO OUR CURRENT STAFF VALUE AT UHS?An environment that puts patient care first. Having the opportunity to grow, learn, and advance in your career. There are very robust continuing education options and opportunities for leadership development with UHS. Supportive and responsive leadership. Competitive salary and comprehensive benefits package.BENEFIT HIGHLIGHTS:Challenging and rewarding work environmentCareer development opportunities within UHS and its SubsidiariesCompetitive Compensation Excellent Medical, Dental, Vision and Prescription Drug Plan401(K) with company match and discounted stock planGenerous Paid Time OffFree Basic Life InsuranceUHS is a registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a wholly-owned subsidiary of Universal Health Services, Inc. Universal Health Services, Inc. is a holding company and operates through its subsidiaries including its management company, UHS of Delaware, Inc. All healthcare and management operations are conducted by subsidiaries of Universal Health Services, Inc. To the extent any reference to ''UHS or UHS facilities'' on this website including any statements, articles or other publications contained herein relates to our healthcare or management operations it is referring to Universal Health Services'' subsidiaries including UHS of Delaware. Further, the terms ''we,'' ''us,'' ''our'' or ''the company'' in such context similarly refer to the operations of Universal Health Services'' subsidiaries including UHS of Delaware. Any employment referenced in this website is not with Universal Health Services, Inc. but solely with one of its subsidiaries including but not limited to UHS of Delaware, Inc. UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at UHS via-email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means.EEO StatementAll 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. We believe that diversity and inclusion among our teammates is critical to our success.NoticeAt UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: or 1-800-852-3449.

Created: 2025-11-15