Behavioral Health Utilization Review Coordinator

Sanctuary Recovery Centers; Phoenix (AZ); On-site; USD 33,062 - 39,950; Full time

Job summary

Sanctuary Recovery Centers in Phoenix, AZ, seeks a detail-oriented Utilization Review (UR) Coordinator / Authorization Representative with clinical experience preferred. This in-office role manages authorizations, documents medical necessity, and ensures AHCCCS compliance while handling a high caseload in a fast-paced environment.

The ideal candidate has 2+ years in UR/behavioral health administration, strong knowledge of payer guidelines, and excellent organizational, written, and verbal

Qualifications

• Minimum of 2+ years in utilization review, authorizations, or behavioral health administration.
• Clinical experience (peer service, clinician, etc.) to aid in review of clinical necessity.
• Strong knowledge of AHCCCS requirements and authorization processes.
• Experience with timely filing requirements and payer-specific guidelines.
• Ability to manage high caseloads and concurrent reviews in a fast-paced environment.
• Familiarity with behavioral health levels of care (RTC, PHP, IOP, outpatient).
• Excellent organizational skills and attention to detail.
• Strong written and verbal communication skills.
• Experience with EHR systems and authorization tracking tools.
• Ability to work independently and in a multidisciplinary team.

Responsibilities

• Obtain, track, and manage initial and concurrent authorizations for behavioral health services.
• Coordinate and complete utilization review processes in compliance with AHCCCS guidelines.
• Submit timely and accurate authorization requests meeting payer filing requirements.
• Monitor authorizations for expiration and manage concurrent reviews to prevent gaps.
• Communicate with clinical staff, payers, and case managers to gather necessary docs.
• Maintain accurate records in the EHR and authorization tracking systems.
• Review documentation for completeness and alignment with medical necessity.
• Manage a high volume of cases, prioritizing tasks to meet deadlines.
• Follow up on pending authorizations, denials, and appeals.
• Ensure compliance with regulations and internal policies.

Skills

Attention to detail

Time management

Written communication

Verbal communication

Multidisciplinary teamwork

Tools

EHR systems

Authorization tracking tools

Job description

Sanctuary Recovery Centers in Phoenix, AZ, seeks a detail-oriented Utilization Review (UR) Coordinator / Authorization Representative with clinical experience preferred. This in-office role manages authorizations, documents medical necessity, and ensures AHCCCS compliance while handling a high caseload in a fast-paced environment.

The ideal candidate has 2+ years in UR/behavioral health administration, strong knowledge of payer guidelines, and excellent organizational, written, and verbal