Behavioral Health Utilization & Authorization Coordinator

Piedmont; Macon (GA); On-site; USD 60,000 - 80,000; Full time

Job summary

A healthcare provider in Macon, Georgia is seeking a professional to ensure admitted patients receive the appropriate level of care and authorization for behavioral health services. This role requires monitoring patient progress and ensuring necessary clinical information for continued stay authorization is provided. Candidates should have a relevant bachelor's degree and at least 2 years of experience in healthcare settings. A valid RN license or LMSW/LCSW in Georgia is required for this position.

Qualifications

• RN license or LMSW/LCSW in Georgia is required.
• 2 years of experience in a related field is required.
• Case Management Certification (CCM) is preferred.

Responsibilities

• Ensure patients have appropriate level of care.
• Monitor patient progress in their care plan.
• Ensure clinical information is available for authorizations.

Skills

Experience in acute care

Utilization Management

InterQual/MGC guidelines

Prior authorization process

Education

Bachelor's Degree from an accredited nursing school

Bachelor's Degree in Social Work

Master's Degree

Tools

Epic

Meditech/MIDAS

Job description

A healthcare provider in Macon, Georgia is seeking a professional to ensure admitted patients receive the appropriate level of care and authorization for behavioral health services. This role requires monitoring patient progress and ensuring necessary clinical information for continued stay authorization is provided. Candidates should have a relevant bachelor's degree and at least 2 years of experience in healthcare settings. A valid RN license or LMSW/LCSW in Georgia is required for this position.