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Coordinator - Utilization Management

Nhccare

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 Expert Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor. #J-18808-Ljbffr Nhccare

Vacancy posted 2 days ago
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