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  3. Utilization Review Coordinator
UHS logo

Utilization Review Coordinator

UHS·Portsmouth, Virginia

Full TimeOn Site2-5 yrsPosted 2 months ago
Practice for this role

Utilization Review Coordinator

How this role compares

Computed from live listings

  • 72 similar openings in the Portsmouth area · median $52,820
  • 39 days median time this employer’s postings stay open (last 90 days)

About the role

The role focuses on coordinating resident care through case management, utilization review, and discharge planning to ensure cost-effectiveness and continuity of care. It involves facilitating communication between payers, referral sources, and clinical teams to secure financial resources and recertifications.

Responsibilities

  • Harbor Point Behavioral Health Center offers hope and healing for youth ages 7 to 17 at the time of admission with several psychiatric diagnoses and/or developmental disabilities.
  • Located in Portsmouth, VA, Harbor Point provides intensive, residential treatment to youth in a comfortable setting that is conducive to healing.
  • Our facility specializes in treating children and adolescents with depression, bipolar, ADHD, and other mental health issues.
  • We also have specific treatment programs for those with intellectual disabilities or those with self-injurious behavior.
  • Harbor Point and its programs are fully accredited by The Joint Commission and the Virginia Association of Independent Specialized Educational Facilities.
  • We are licensed by The Virginia Department of Behavioral Health and Developmental Services and the Virginia Department of Education.
  • We are a TRICARE®-approved and certified facility.
  • Position Scope: To provide ongoing support and enhance the quality of resident care, to promote continuity of care and cost effectiveness through the integrating and function of case management, utilization review and discharge planning.
  • Essential Functions: Facilitates communication regarding resident treatment process and needs with referral sources such as DSS and FAPT teams and payers.
  • Ensures coordinated, effective resident care including admission, continued stays, and discharge requirements.
  • Ensures positive relationships with external and internal customers.
  • Ensures continued availability (recertification) of financial resources throughout the residents’ stay.
  • Service Excellence.

Qualifications

Needs basic understanding of and comfort level with medical terminology, residential treatment, clinical science/pathology and psychiatric disorders. Must know how to gather and analyze data. Must be articulate, assertive, and able to communicate effectively with families, payers, therapists and physicians both verbally and in writing. Must also demonstrate initiative, tact and good judgment. Must be able to acquire clear understanding of treatment priorities and ability to make sound decisions balancing resident and family needs with available resources. Must have basic computer skills. An individual must be able to perform each essential function of the job satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities, who are otherwise qualified, to perform the essential functions.

Qualifications

Education

Prefer a Bachelor’s Degree in social work, psychology or counseling with documented field work experience.

Experience

  • Requires minimum four years’ experience in nursing, rehabilitative services, mental health counseling, or admissions. Prefers minimum two years of Utilization Review/Management, Quality Assurance or Risk Management. Knowledge of DMAS regulations and experience in Acentra/Kepro and Humana/Tricare portal is highly preferable. 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: https://uhs.alertline.com or 1-800-852-3449.

Requirements

Candidates should ideally hold a Bachelor's degree in social work, psychology, or counseling and have at least four years of experience in nursing, mental health, or admissions. Proficiency in DMAS regulations and experience with Acentra/Kepro or Humana/Tricare portals is highly preferred.

  • bachelor degree
  • Case Management
  • Communication
  • Data Analysis
  • Medical Terminology
  • Computer Skills
  • Decision Making
  • Discharge Planning
  • Utilization Review
  • Psychiatric Disorders
  • Clinical Science

Posting details

Employment type
Full Time
Work arrangement
On Site
Experience
2-5 yrs
Location
Portsmouth, Virginia
Posted
Jun 19, 2026
Closes
Jun 19, 2027
Application
Employer website
UHS logo

Hiring organization

UHS

Located in Aiken, South Carolina, which was named 2018’s “Best Small Town in the South” by Southern Living Magazine, Aiken Regional Medical Centers is a 273 licensed-bed acute care facility that offers a comprehensive range of specialties and services. Aiken Regional is...

IndustryHospitals and Health Care
TypePublic Company
Size1,001-5,000 employees
View profile

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Market context

Virginia behavioral health roles need CSAC licensure

Behavioral-health roles in Virginia commonly draw steady demand as agencies and treatment programs look for clinicians who can support counseling, care coordination, and recovery services. These positions are competitive because a valid CSAC license is required, while a psychology or counseling degree and treatment-industry experience are preferred; benefits often include PTO and health-related coverage. Review the AI-summarized requirements and benefits on this platform to save time, and confirm your licensure details before applying.

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