UR COORDINATOR

UR Coordinator-Behavioral Health

Horizon Health is seeking a UR Coordinator for our BRAND NEW unit called Altru Behavioral Health Center in Grand Forks, ND. This unit will be a 24 bed inpatient unit for both adult and pediatric patients. We are also planning to expand to an additional 24 beds in 2026. Altru Health System and Universal Health Services are working together in expanding inpatient behavioral health services.The Utilization Review Coordinator initiates pre-certification calls for private insurance and managed Medicare and Medicaid plans and provides concurrent reviews throughout the patient stays.

Responsibilities:

• Tracks utilization review outcomes

• Assess and reassess the quality of patient progress notes

• Maintains insurance contact information
• Manages insurance appeal process and work with the facilities denial management coordinator
• Communicates treatment team recommendations and participates as part of the interdisciplinary team.
• Provides resources and suggestions to third party payors regarding aftercare and discharge continued care.
• Continuous education of legislative and insurance changes in regard to continued stay requirements.
• Stays informed on all clinical services and program changes in order to appropriately represent payor sources.
• Disseminates pertinent findings/data to referral sources as needed.
• Performs other duties as assigned/required by this position.

Benefit Highlights for full-time positions:

• Competitive Compensation
• Excellent Medical, Dental, Vision, and Prescription Drug Plan
• 401(K) with company match and discounted stock plan
• Long and Short-term Disability
• Flexible Spending Accounts; Healthcare Savings Account
• Life Insurance
• Career development opportunities within the company
• Tuition Assistance
• Rewarding work environment - Enjoy going to work every day!

For more information, email Courtney Eble, Healthcare recruiter at courtney.eble@horizonhealth.com

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 $14.3 billion in 2023. During 2024, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and in 2023, listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 96,700 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. www.uhs.com

• Bachelor's degree required
• At least 3 years of related experience required

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.