Coordinator – Utilization Management

Nhccare; Knoxville (TN); On-site; USD 55,000 - 75,000; Full time

Job summary

Knoxville Center for Behavioral Medicine in Knoxville, TN is seeking an experienced Utilization Management Coordinator to support inpatient and Intensive Outpatient Program services. You will verify benefits, obtain authorizations, and collaborate with clinical teams to ensure appropriate patient care.

The role focuses on utilization management, concurrent reviews, and payer communications, requiring knowledge of insurance requirements and medical necessity criteria.

Qualifications

• Bachelor’s degree in nursing or other clinical degree preferred; high school diploma required.
• Utilization Management experience in a healthcare or behavioral health setting.
• Experience with inpatient behavioral health and/or IOP authorizations preferred.
• Knowledge of insurance benefits, medical necessity criteria, and payer requirements.
• Strong organization, communication, and time-management skills.
• Experience with EHR systems and authorization portals.

Responsibilities

• Verify insurance benefits and obtain authorizations.
• Manage concurrent reviews and payer communication.
• Submit clinical information to support continued treatment.
• Track approvals, review dates, and authorization requirements.
• Assist with denials, peer-to-peer reviews, and follow-up.
• Maintain accurate documentation and compliance standards.

Skills

Utilization Management

Inpatient Behavioral Health

IOP Authorizations

EHR Systems

Education

Bachelor's degree in nursing or clinical degree

High school diploma

Tools

Authorization portals

Job description

Description

Utilization Management experience required
Behavioral Health experience strongly preferred
Knoxville, TN

Join a growing behavioral health hospital where your experience helps patients access the care they need.

Knoxville Center for Behavioral Medicine is seeking an experienced Utilization Management Coordinator to support inpatient and Intensive Outpatient Program (IOP) services. This role is ideal for someone who understands insurance authorizations, concurrent reviews, and payer requirements and enjoys working closely with clinical teams to support positive patient outcomes.

What You'll Bring

• Bachelor’s degree in nursing or Other Clinical degree preferred, High school diploma required
• Utilization Management experience in a healthcare or behavioral health setting
• Experience with inpatient behavioral health and/or IOP authorizations preferred
• Knowledge of insurance benefits, medical necessity criteria, and payer requirements
• Strong organization, communication, and time-management skills
• Experience with EHR systems and authorization portals

What You'll Do

• Verify insurance benefits and obtain authorizations
• Manage concurrent reviews and payer communication
• Submit clinical information to support continued treatment
• Track approvals, review dates, and authorization requirements
• Assist with denials, peer-to-peer reviews, and follow-up
• Maintain accurate documentation and compliance standards

Why Join Us?

At Knoxville Center for Behavioral Medicine, we're committed to improving lives through compassionate, personalized behavioral healthcare. We proudly partner with NHC, Tennova Healthcare, and The University of Tennessee Medical Center to serve adults and geriatric patients throughout our community.

Equal Opportunity Employer

Training - Health Information

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