Behavioral Health UM Coordinator – Inpatient & IOP

Knoxville Center for Behavioral Medicine; Knoxville (TN); On-site; USD 42,000 - 66,000; Full time

Job summary

Knoxville Center for Behavioral Medicine is seeking an experienced Utilization Management Coordinator to support inpatient and Intensive Outpatient Program (IOP) services in Knoxville, Tennessee.

This full-time role requires knowledge of insurance authorizations, concurrent reviews, and payer requirements, with collaboration across clinical teams to support positive patient outcomes and compliant documentation.

Qualifications

• Bachelor's degree in nursing or clinical field preferred; HS diploma required.
• UM experience in healthcare or behavioral health setting.
• Experience with inpatient behavioral health and/or IOP authorizations preferred.
• Knowledge of insurance benefits, medical necessity criteria, and payer requirements.
• Strong organization, communication, and time-management skills.
• Experience with EHR systems and authorization portals.

Responsibilities

• Verify insurance benefits and obtain authorizations.
• Manage concurrent reviews and payer communication.
• Submit clinical information to support continued treatment.
• Track approvals, review dates, and authorization requirements.
• Assist with denials, peer-to-peer reviews, and follow-up.
• Maintain accurate documentation and compliance standards.

Skills

Utilization Management experience

Behavioral health experience

Insurance benefits knowledge

Organization and time-management

Payer requirements knowledge

Communication skills

Education

Bachelor's degree in nursing or clinical degree

High school diploma

Tools

EHR systems

Authorization portals

Job description

Knoxville Center for Behavioral Medicine is seeking an experienced Utilization Management Coordinator to support inpatient and Intensive Outpatient Program (IOP) services in Knoxville, Tennessee.

This full-time role requires knowledge of insurance authorizations, concurrent reviews, and payer requirements, with collaboration across clinical teams to support positive patient outcomes and compliant documentation.