About this opportunity
Universal Health Services, Inc. lists this UR COORDINATOR opportunity in lawrenceville, Georgia. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Responsibilities
SummitRidge Hospital provides quality behavioral health and addiction treatment services in Lawrenceville, GA, approximately 30 miles northeast of downtown Atlanta. Our dedicated team of professionals provide caring and professional inpatient, outpatient and support services to adults and adolescents suffering from psychiatric or addictive disorders. Additionally, the Geriatric unit provides acute care for seniors in psychiatric crisis.
SummitRidge Hospital is seeking a PRN Utilization Review Coordinator to support our behavioral health facility on an as-needed basis. This role is responsible for coordinating utilization review activities, supporting timely insurance authorization processes, and ensuring compliance with payer requirements. The ideal candidate will have strong communication skills, attention to detail, and experience in behavioral health or utilization management.
Key Responsibilities
Conduct utilization review functions for assigned patients in accordance with facility policies and payer guidelines
Obtain, track, and maintain insurance authorizations, continued stay reviews, and discharge planning updates
Communicate effectively with insurance companies, clinical staff, and other care team members
Ensure documentation is accurate, timely, and compliant with regulatory and payer standards
Support coordination of patient care updates related to level of care and medical necessity
Assist with appeals, denials, and other utilization management processes as needed
Maintain confidentiality and adhere to all HIPAA and facility privacy standards
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 were $13.4 billion in 2022. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 94,000 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 all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.
Qualifications
Qualifications
High school diploma or equivalent required; associate's or bachelor's degree preferred
Previous experience in utilization review, case management, behavioral health, or a related healthcare setting preferred
Knowledge of insurance authorization processes, payer requirements, and medical necessity criteria
Strong organizational, communication, and problem-solving skills
Ability to work independently and maintain professionalism in a fast-paced environment
Proficiency with computer systems and electronic documentation
Previous experience with third party payors.
Must be familiar with utilization negotiations.
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.
We believe that diversity and inclusion among our teammates is critical to our success.
Notice
At 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
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.