Behavioral Health Utilization Coordinator

Canopy Standard; Jackson (MS); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

403b Retirement Plan with Match

Medical, Dental, Vision Insurance

PTO/Vacation

Job summary

Canopy Children’s Solutions in Mississippi seeks a dedicated Utilization Review Coordinator to manage pre-certification, concurrent reviews, and discharge planning for behavioral health services. You will collaborate with the PRO, physicians, treatment team, and MCOs to ensure compliant, timely care for youth.

This role emphasizes performance improvement, data reporting, and revenue optimization while upholding Canopy’s core values and mission to help children thrive and empower families.

Qualifications

• Valid and current mental health certification and/or license within 30 days of employment.
• Bachelor's degree required; LSW or equivalent preferred.
• Minimum two years of experience in a behavioral health setting.
• Experience working with children and adolescents preferred.

Responsibilities

• Coordinate utilization management of behavioral health services for all programs requiring pre-certification for admission.
• Act as liaison between PRO, physicians, Interdisciplinary Treatment Team, MCOs and Administration.
• Coordinate concurrent review and discharge planning with clinical staff.
• Participate in performance improvement and quality compliance processes.
• Monitor authorizations and eligibility; input documentation in EHR.
• Assist in developing policies related to utilization management and treatment planning.
• Ensure compliance with Medicaid, PRO, and third-party payer standards.

Skills

Mental health certification

Licensure eligibility

Experience with children/adolescents

Education

Bachelor's degree in social sciences/clinical field

Job description

Canopy Children’s Solutions in Mississippi seeks a dedicated Utilization Review Coordinator to manage pre-certification, concurrent reviews, and discharge planning for behavioral health services. You will collaborate with the PRO, physicians, treatment team, and MCOs to ensure compliant, timely care for youth.

This role emphasizes performance improvement, data reporting, and revenue optimization while upholding Canopy’s core values and mission to help children thrive and empower families.