Coordinator – Utilization Management

Knoxville Center for Behavioral Medicine; Knoxville (TN); On-site; USD 42,000 - 66,000; Full time

Job summary

Knoxville Center for Behavioral Medicine is seeking an experienced Utilization Management Coordinator to support inpatient and Intensive Outpatient Program (IOP) services in Knoxville, Tennessee.

This full-time role requires knowledge of insurance authorizations, concurrent reviews, and payer requirements, with collaboration across clinical teams to support positive patient outcomes and compliant documentation.

Qualifications

• Bachelor's degree in nursing or clinical field preferred; HS diploma required.
• UM experience in 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 experience

Behavioral health experience

Insurance benefits knowledge

Organization and time-management

Payer requirements knowledge

Communication skills

Education

Bachelor's degree in nursing or clinical degree

High school diploma

Tools

EHR systems

Authorization portals

Job 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.

Full-Time Utilization Management Coordinator

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.

If you're an experienced UM professional looking to make a difference in behavioral health, we'd love to hear from you.

Equal Opportunity Employer