Utilization Review Coordinator

Responsibilities

Now Hiring:
Utilization Review Coordinator

Mountain Youth Academy is a 120‑bed residential treatment facility located in Mountain City, Tennessee, close to Johnson City, Boone, and Abingdon. We evaluate, diagnose, and treat a wide range of behavioral health issues for young adolescents. The Utilization Review Coordinator will ensure students receive uninterrupted insurance coverage by coordinating timely insurance reviews, maintaining utilization management records, and acting as a liaison between insurance providers, referral sources, and internal departments.

The ideal candidate is highly organized, possesses excellent communication and customer service skills, and thrives in a fast‑paced healthcare environment.

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

• High school diploma or GED.
• 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.

This position is primarily sedentary and requires prolonged sitting and frequent keyboard use. Occasional standing and walking are required.

• 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

For a full preview of benefits, please visit UHS Benefits Service Center ()

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.

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.