Clinical Utilization Review Specialist

Canopy-Children; Jackson (MS); On-site; USD 48,000 - 64,000; Full time

Benefits offered by this job

403b Retirement Plan with Match

PTO/Vacation

Employee Wellness Program

Job summary

Canopy Children’s Solutions in Jackson, MS is seeking a dedicated Utilization Review Coordinator to manage behavioral health services across programs. You will coordinate interdisciplinary treatment, ensure timely prior authorizations, and partner with PROs, Medicaid, and payers to support care transitions.

The role requires a current mental health certification/licensure and 2+ years in behavioral health, including experience with children and adolescents.

Qualifications

• Valid and current mental health Certification (PCMHT or CMHT) and/or license (LPC, LCSW, LMSW, LMFT, LMFTA) within 30 days of employment.
• Minimum of a Bachelor's degree requiring an LSW or Master’s degree in a social science field such as Counseling, Psychology, Social Work or a social rehabilitative field.
• Minimum of two (2) years' experience in a behavior health setting.
• Minimum one (1) year of experience working with children and adolescents.

Responsibilities

• Coordinate interdisciplinary treatment planning and care transitions.
• Reviews and reports prior authorization, concurrent reviews, and discharges for PRO/MCO review.
• Facilitate the prior authorization process with Medicaid, PRO, and third party payers.

Education

Bachelor's degree

Master’s degree in Counseling/Psychology/Social Work

Job description

Canopy Children’s Solutions in Jackson, MS is seeking a dedicated Utilization Review Coordinator to manage behavioral health services across programs. You will coordinate interdisciplinary treatment, ensure timely prior authorizations, and partner with PROs, Medicaid, and payers to support care transitions.

The role requires a current mental health certification/licensure and 2+ years in behavioral health, including experience with children and adolescents.