Coordinator - Utilization Management

National HealthCare Corp

  • Knoxville, TN
  • 14 days ago

    Highlights

    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.

    Numbers & Facts

    LocationKnoxville, TN

    Description

    Full-Time Utilization Management Coordinator

    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 Youll 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 Youll 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, were 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 youre an experienced UM professional looking to make a difference in behavioral health, wed love to hear from you. Apply today!

    Equal Opportunity Employer

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