Behavioral Health Utilization & Care Coordinator

Socket.dev; Jackson (MS); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

Competitive Compensation

403b Retirement Plan with Match

Medical Insurance

Dental Insurance

Vision Insurance

PTO/Vacation

Employee Wellness Program

Job summary

Canopy Children’s Solutions in Mississippi is seeking an Utilization Review Coordinator to act as a liaison with PRO, physicians, and MCOs. The role coordinates utilization management for behavioral health services needing pre-certification, and supports concurrent reviews and discharge planning.

The position involves ensuring compliance with Medicaid, leading quality assurance activities, and providing weekly utilization reports to the Admissions leadership.

Qualifications

• Valid and current mental health certification (PCMHT or CMHT) and/or license within 30 days of employment.
• Bachelor's degree with LSW or Master’s in social science fields (Counseling, Psychology, Social Work, or related).
• Two years' experience in a behavioral health setting.
• One year experience working with children and adolescents.

Responsibilities

• Coordinate utilization management with PRO, MCOs, and physicians.
• Manage prior authorization, concurrent reviews, and discharge planning.
• Ensure compliance with Medicaid and quality assurance standards.
• Provide weekly utilization and service delivery reports.

Education

Bachelor's degree with LSW or Master’s in social science fields (Counseling, Psychology, Social Work, or related)

Job description

Canopy Children’s Solutions in Mississippi is seeking an Utilization Review Coordinator to act as a liaison with PRO, physicians, and MCOs. The role coordinates utilization management for behavioral health services needing pre-certification, and supports concurrent reviews and discharge planning.

The position involves ensuring compliance with Medicaid, leading quality assurance activities, and providing weekly utilization reports to the Admissions leadership.