Find & Apply For Clinical Auditor / Utilization Reviewer Jobs in Saint Johns, Michigan

Responsibilities Cedar Creek Hospital of Michigan is a beautiful and state of the art 81-bed facility. Cedar Creek provides evidence-based treatment to adolescents and adults struggling with mental health issues. Cedar Creek Hospital invests in our patients by offering an integrated medicine approach that provides the latest therapies including yoga, mindfulness, aromatherapy, music therapy and nutrition. As part of our success and innovation in the field we are seeking qualified applicants for a Utilization Coordinator position. Learn more about Cedar Creek Hospital online at: Cedar Creek Hospital Description The Utilization Coordinator is responsible for oversight of the insurance appeal process, in collaboration with the business office and for providing UR consultations to other facility departments. Essential job duties include but are not limited to: Performs financial counseling responsibilities, including insurance verifications and patient/family notification of coverage in coordination with the business office. Complete insurance pre-certifications as assigned. Assist the Assessment and Referral Center with pre-certifications as needed. Complete continued stay reviews with external review agencies as needed. Provides clinical appropriateness data (verbal and written) to outside utilization review agencies and insurance companies according to policy and procedure. Analyzes patient clinical information to determine patient length of stay and level or care. Benefits Cedar Creek offers an extensive benefits program including Medical (BCBS), Dental (Delta), Vision (VSP), 401k with a company match, Student Loan Repayment of up to $200 per month, Paid Time Off, Disability options, Life insurance, Pet insurance and much more. About Universal Health Services Headquartered in King of Prussia, PA, Universal Health Services, Inc. (

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UHS) is one of the nation's largest and most respected providers of hospital and healthcare services. Since our founding in 1979, UHS has grown steadily into a premier Fortune 500® corporation perennially recognized by multiple esteemed national rating entities. Through its subsidiaries, UHS operates inpatient acute care facilities, inpatient behavioral health facilities, outpatient and other facilities, nationwide virtual behavioral health services, an insurance offering, a physician network and various related services with physical locations in the U.S., Puerto Rico, Ireland and United Kingdom. www.uhs.com . From Fortune , ©2025, 2026 Fortune Media IP Limited. All rights reserved. Used under license. Qualifications Requirements High school diploma or equivalent required, bachelors degree with RN, BSW, or MSW license strongly preferred. 1-3+ years working in a related field required. Experience working with psychiatric utilization review criteria and program delivery stongly preferred. 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. Avoid and Report Recruitment Scams We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information. At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. 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.