Behavioral Health Utilization & Care Coordinator

Canopy Children's Solutions; Jackson (MS); On-site; USD 52,000 - 68,000; Full time

Benefits offered by this job

Competitive pay

403b with match

Medical/Dental/Vision insurance

PTO/Vacation

Wellness program

Job summary

Canopy Children's Solutions in Mississippi seeks a dedicated Utilization Review Coordinator to act as a liaison among the organization, PRO, physicians, the interdisciplinary treatment team, managed care organizations, and administration. This role coordinates utilization management for behavioral health services that require pre-certification for admission.

The position collaborates on concurrent reviews, discharges, and participates in quality improvement efforts, ensuring documentation aligns

Qualifications

• Minimum of a Bachelor's degree required, Master's degree preferred in related field.
• Minimum two years' experience in a behavior health setting.
• Minimum one year of experience working with children and adolescents.

Responsibilities

• Acts as a liaison between the organization and the Peer Review Organization (PRO), physicians, interdisciplinary treatment team, managed care organizations and administration.
• Coordinates utilization management for behavioral health services requiring pre-certification for admission.
• Manages concurrent reviews and discharge planning in collaboration with clinical staff.
• Participates in performance improvement and quality compliance processes.
• Facilitates prior authorization and continued stay processes with external reviewers and third-party payers.

Education

Bachelor's degree

Master's degree

Job description

Canopy Children's Solutions in Mississippi seeks a dedicated Utilization Review Coordinator to act as a liaison among the organization, PRO, physicians, the interdisciplinary treatment team, managed care organizations, and administration. This role coordinates utilization management for behavioral health services that require pre-certification for admission.

The position collaborates on concurrent reviews, discharges, and participates in quality improvement efforts, ensuring documentation aligns