Utilization Management Coordinator-PRN

Utilization Management Coordinator - PRN Opportunity

West Oaks Hospital, a 176-bed acute care facility, has provided psychiatric care to the Houston area and surrounding communities for over four decades. The hospital is fully accredited and includes a 16-bed residential treatment center for adult chemical dependency.

We offer a broad range of behavioral health programs for children, adolescents, and adults. Treatment is offered at multiple levels of care including inpatient, partial hospitalization, and intensive outpatient. We are available 24 hours a day, seven days a week to assist you and answer your questions about treatment options and insurance coverage. The hospital is easily accessible off the Southwest Freeway near the Galleria.

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The Utilization Management Coordinator provides administrative case management, conducts admission and continued stay reviews, assists in appeals of inappropriate reimbursement denials, and participates in the hospital’s Performance Improvement Plan.

• Monitors cases for medical necessity, appropriate duration of service and over or under utilization of resources.
• Completes admission and continued stay reviews with managed care companies and obtains certification.
• Identifies documentation defects.
• Participates in efforts to recover denials.
• Collaborates with medical staff, administration and treatment team.

• Challenging and rewarding work environment.
• Competitive compensation & generous paid time off.
• Career development opportunities within UHS and its 300+ subsidiaries.

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 $15.8 billion in 2024. UHS was again recognized as one of the World’s Most Admired Companies by Fortune; listed in Forbes ranking of America’s Largest Public Companies.

Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities, ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S., Washington, D.C., Puerto Rico and the United Kingdom.

• Education:
  
  Bachelor’s Degree in Psychology, Social Work, Nursing or related field, or Associate Degree in Nursing. Preferred:
  Master’s degree in a human-related field.
• Licensure and certification: CPR and hospital de‑escalation certifications. Preferred: TX LVN, RN or LCDC license.
• Experience:
  
  Minimum of one year of case management experience and one year inpatient psychiatric experience. Preferred: 5 years of clinical or case management 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.

We are aware of a scam whereby imposters are posing as recruiters from UHS and its subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job‑related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.