Utilization Review Coordinator - PRN position

georgetown-behavioral-health-institute

Georgetown, Texas, United States · Georgetown · United States

Posted Jun 19, 2026

Other
Utilization Review
Associate

Job description

Our inpatient behavioral health hospital is seeking a PRN Utilization Review Coordinator. This position is responsible for working with insurance companies and managed care systems for the initial authorization, concurrent and retrospective review of inpatient, partial, and intensive outpatient admissions and services. Previous experience in utilization review or case management desirable. This position will obtain authorization for each admitted patient. Review and monitor each step of the authorization process to proactively identify potential problems to help patients access the full range of their benefits through the utilization review process.RequirementsEducation and/or Licensure – Bachelor’s degree or equivalent in nursing preferred. Experience – 3-5 years Admitting or Financial Counseling preferred. Prefer two years clinical experience in a facility with medical terminology and in criteria for acute psychiatric inpatient care. Knowledgeable of insurance coverage and billing practices preferred. Previous experience in utilization review or case management desirable. Additional Requirements – Must possess or obtain a valid CPR certification and certified in facility approved verbal de-escalation and physical crisis management techniques within 30 days of hire and prior to completion of orientation required.BenefitsFull-time employees are eligible for medical, dental, vision, company paid disability, 401(k) and a generous amount of paid time off.

Our inpatient behavioral health hospital is seeking a PRN Utilization Review Coordinator.

This position is responsible for working with insurance companies and managed care systems for the initial authorization, concurrent and retrospective review of inpatient, partial, and intensive outpatient admissions and services. Previous experience in utilization review or case management desirable.

This position will obtain authorization for each admitted patient. Review and monitor each step of the authorization process to proactively identify potential problems to help patients access the full range of their benefits through the utilization review process.

Requirements

Education and/or Licensure – Bachelor’s degree or equivalent in nursing preferred.

Experience – 3-5 years Admitting or Financial Counseling preferred. Prefer two years clinical experience in a facility with medical terminology and in criteria for acute psychiatric inpatient care. Knowledgeable of insurance coverage and billing practices preferred. Previous experience in utilization review or case management desirable.

Additional Requirements – Must possess or obtain a valid CPR certification and certified in facility approved verbal de-escalation and physical crisis management techniques within 30 days of hire and prior to completion of orientation required.

Benefits

Full-time employees are eligible for medical, dental, vision, company paid disability, 401(k) and a generous amount of paid time off.

Georgetown Behavioral Health Institute (GBHI) is a state-of-the-art 118-bed acute care psychiatric hospital offering comprehensive mental healthcare programs and services for adults, teens, active duty military members and older adults. In addition to offering inpatient acute care services, we provide outpatient programs that help support patients as they discharge or as an alternative to hospitalization. Our hospital provides a safe environment staffed by caring and highly educated professionals where we support a person-centered treatment program that promotes stabilization and healing.Our staff works with each patient individually, addressing each of his or her unique needs through an integrated approach. Our multidisciplinary treatment team includes physicians, psychiatrists, social workers, nurses, adjunctive therapists, and dieticians. Patients gain skills in the areas of developing healthy boundaries, learning how to appropriately express emotions, using effective communication skills, increasing self-esteem, managing anger, and developing life skills.GBHI will serve as an essential component of a recovery-oriented system of care, where individuals can learn to live successfully in recovery with a serious mental illness, and where families can gain knowledge, skills, and coping mechanisms to support their loved ones and themselves. Our evidence-based programs are designed to help individuals live healthy, satisfying, and self-directed lives.Read more: http://www.georgetownbehavioral.com/about#ixzz5RSo1YfBO

Our staff works with each patient individually, addressing each of his or her unique needs through an integrated approach. Our multidisciplinary treatment team includes physicians, psychiatrists, social workers, nurses, adjunctive therapists, and dieticians. Patients gain skills in the areas of developing healthy boundaries, learning how to appropriately express emotions, using effective communication skills, increasing self-esteem, managing anger, and developing life skills.

GBHI will serve as an essential component of a recovery-oriented system of care, where individuals can learn to live successfully in recovery with a serious mental illness, and where families can gain knowledge, skills, and coping mechanisms to support their loved ones and themselves. Our evidence-based programs are designed to help individuals live healthy, satisfying, and self-directed lives.