Behavioral Health Utilization & Authorization Coordinator

Canopy-Children; Jackson (MS); On-site; USD 42,000 - 64,000; Full time

Job summary

Canopy Children’s Solutions is seeking a dedicated Utilization Review Coordinator to join our on-site team in Jackson, MS. The role focuses on coordinating behavioral health services, managing prior authorizations, and ensuring compliant discharge planning across programs.

You will collaborate with the Medical Director, psychiatrists, and clinical staff to optimize utilization reviews and maintain quality care for children and families served by Canopy.

Qualifications

• Minimum of a Bachelor's degree required.
• Minimum two (2) years' experience in a behavior health setting.
• Minimum one (1) year of experience working with children and adolescents.

Responsibilities

• Assists in coordinating the interdisciplinary treatment teams.
• Attends staffing, treatment team meetings and clinical communities as applicable for coordination of care and transitional planning for aftercare/discharge services.
• Reviews, evaluates and reports prior authorization, concurrent reviews, and discharges as required by the Peer Review Organization (PRO) and Managed Care Organizations (MCOs) for review.
• Acts as the utilization liaison to the Managed Care Organizations, the Division of Medicaid and its Peer Review Organization (PRO) to facilitate the prior authorization process as needed.
• Facilitates the prior authorization and continued stay process and coordinate the review of required documentation with the Medical Director, Psychiatrists, and clinical teams assigned to obtain approval for concurrent reviews and continued stays through the prior authorization process for the PRO and Third Party Payers.

Education

Bachelor's degree

Job description

Canopy Children’s Solutions is seeking a dedicated Utilization Review Coordinator to join our on-site team in Jackson, MS. The role focuses on coordinating behavioral health services, managing prior authorizations, and ensuring compliant discharge planning across programs.

You will collaborate with the Medical Director, psychiatrists, and clinical staff to optimize utilization reviews and maintain quality care for children and families served by Canopy.