Behavioral Health Intake & Utilization RN Coordinator

CharterCARE of Rhode Island; Providence (RI); On-site; USD 80,000 - 100,000; Full time

Job summary

CharterCARE of Rhode Island Providence, Rhode Island, is seeking a Behavioral Health Intake and Utilization Review Coordinator to manage bed resources and review intake assessments for clinical appropriateness.

The role coordinates admissions, leads utilization review activities, and ensures compliance with regulatory and payer requirements while collaborating with patients, providers, and insurers.

Qualifications

• Minimum 2–3 years in behavioral health intake or utilization review.
• Knowledge of levels of care and medical necessity criteria (e.g., MCG, InterQual).
• Familiarity with insurance authorization and managed care systems.

Responsibilities

• Bed management and review of intake assessments.
• Coordinate admissions and utilization review activities for timely access to care.
• Liaise with community hospitals and Emergency Departments and facilitate outside admissions.

Skills

Clinical assessment

Medical necessity criteria

Insurance authorization

Organizational skills

Communication skills

EHR proficiency

Microsoft Office

Education

RN license

Job description

CharterCARE of Rhode Island Providence, Rhode Island, is seeking a Behavioral Health Intake and Utilization Review Coordinator to manage bed resources and review intake assessments for clinical appropriateness.

The role coordinates admissions, leads utilization review activities, and ensures compliance with regulatory and payer requirements while collaborating with patients, providers, and insurers.