Clinical Coordinator - Utilization Review

Hampton-Newport News Community Services Board; Hampton (VA); On-site; USD 56,165 - 68,646; Full time

Benefits offered by this job

Health, Vision, and Dental Insurance

Virginia Retirement System

Flexible Spending Account (FSA)

Life Insurance

11 Paid Holidays

Job summary

The Hampton-Newport News Community Services Board is seeking a full-time Clinical Coordinator - Utilization Review. This position involves conducting clinical reviews to ensure individuals receive appropriate behavioral health services and managing utilization of beds to promote effective care.

The ideal candidate should have a Master's degree in Human Services and three years of experience in behavioral health and utilization management. A range of benefits is offered, including health, vision, and dental insurance, retirement plans, and paid holidays.

Qualifications

• Minimum of three (3) years of experience in behavioral health, including utilization management.
• Master's degree in Human Services.

Responsibilities

• Conduct clinical reviews of acute and intermediate care for appropriateness of care.
• Manage utilization of beds and monitor treatment progress.
• Coordinate communication between hospitals and CSB staff.

Skills

Behavioral health experience

Utilization management

Clinical reviews

Education

Master's degree in Human Services

Job description

Annual Salary: $62,406

Work Schedule: Monday - Friday 8:30 am - 5:00 pm

The Hampton - Newport News Community Services Board (CSB) is hiring a Clinical Coordinator - Utilization Review for the Region 5 Reinvestment Initiative. This full‑time Clinical Coordinator - Utilization Review is responsible for conducting clinical reviews of acute and intermediate care for clinical necessity and appropriateness of care and for managing utilization of beds on a daily basis to ensure movement in a clinically appropriate and expeditious manner. Major duties will include conducting clinical reviews, acute care bed management, and communication of findings and recommendations between hospitals, facilities, and CSB staff. This position will report to the Project Director of the Region 5 Reinvestment Initiative.

Role Summary

The Clinical Coordinator (Utilization Review) ensures individuals receive the most appropriate and effective behavioral health services by conducting clinical reviews of acute care and crisis stabilization admissions. Evaluates medical necessity, monitors continued stay criteria, and makes recommendations regarding the most appropriate level of care. Working closely with hospitals, Community Services Board (CSB) staff, and regional partners, coordinates communication, tracks consumer placements, and provides clinical guidance to support informed treatment and placement decisions. Responsibilities include conducting face‑to‑face assessments, monitoring treatment progress and outcomes, promoting quality and cost‑effective care, and preparing regular utilization reports with recommendations for acute, sub‑acute, or community‑based services. This position plays a critical role in ensuring consumers receive timely, clinically appropriate, and least restrictive treatment options while supporting regional behavioral health initiatives.

To Qualify For This Position

• Master's degree in Human Services.
• Three (3) years of experience in behavioral health, including utilization management.

Benefits

• Health, Vision, and Dental Insurance
• Virginia Retirement System
• Flexible Spending Account (FSA)
• Life Insurance
• 11 Paid Holidays

The selected candidate must successfully pass a criminal history fingerprint background investigation, DMV record check, Child Registry search, drug screening test and employment reference checks.

For more information, or to apply now, you must go to the website below. Please DO NOT email your resume to us as we only accept applications through our website.

https://hnncsb.applicantpro.com/jobs/4117360-1015165.html