Care Coordination & Utilization Specialist

Henderson Hospital; Nevada (MO); On-site; USD 42,000 - 70,000; Full time

Benefits offered by this job

Health insurance

Dental & Vision plans

401(K) with company match

Educational reimbursement

Loan Repayment Program

SoFi Student Loan Refinancing Program

Competitive PTO and career development

Job summary

Heartland Behavioral Health seeks a detail‑oriented professional to support utilization management and care coordination for youth ages 4‑17 in Nevada/Missouri. The role interacts with families, referral sources and discharge planning to ensure smooth transitions and coordinated care.

Responsibilities include verifying insurance, understanding medical necessity for acute and residential services, and assisting with financial counseling and paperwork to secure timely payments.

Qualifications

• High school diploma or equivalent required.
• 2 years experience in mental health preferred.
• Experience in case management and/or utilization review.
• Knowledge of insurance verification and medical necessity requirements for acute/residential treatment.
• Ability to use Word, Excel and hospital programs.
• Detail oriented with quality customer service.
• Bachelor’s in health field and/or licensure as LPN/LBSW/RN/LPC/LMSW/LCSW.

Responsibilities

• Support utilization management and care coordination activities.
• Work with families and referral sources for discharge processes.
• Support insurance and financial counseling to ensure payments and follow-up paperwork.

Skills

Detail oriented

Customer service

Insurance verification

Medical necessity knowledge

Microsoft Word

Excel

Discharge processes

Care coordination

Education

Bachelor's degree in a health related field

Tools

Microsoft Word

Excel

Job description

Heartland Behavioral Health seeks a detail‑oriented professional to support utilization management and care coordination for youth ages 4‑17 in Nevada/Missouri. The role interacts with families, referral sources and discharge planning to ensure smooth transitions and coordinated care.

Responsibilities include verifying insurance, understanding medical necessity for acute and residential services, and assisting with financial counseling and paperwork to secure timely payments.