Clinical Coordinator - Utilization Review

Annual Salary: $62,406 Work Schedule: Monday - Friday 8:30 am - 5:00 pm The Hampton - Newport News Community Services Board (CSB) is hiring a Clinical Coordinator - Utilization Review for the Region 5 Reinvestment Initiative. This full-time Clinical Coordinator - Utilization Review is responsible for conducting clinical reviews of acute and intermediate care for clinical necessity and appropriateness of care, and for managing utilization of beds on a daily basis to ensure movement in a clinically appropriate and expeditious manner. Major duties will include conducting clinical reviews, acute care bed management, and communicating findings and recommendations between hospitals, facilities, and CSB staff. This position reports to the Project Director of the Region 5 Reinvestment Initiative. Role Summary The Clinical Coordinator (Utilization Review) ensures individuals receive the most appropriate and effective behavioral health services by conducting clinical reviews of acute care and crisis stabilization admissions. The Coordinator evaluates medical necessity, monitors continued stay criteria, and makes recommendations regarding the most appropriate level of care. Working closely with hospitals, CSB staff, and regional partners, the Coordinator coordinates communication, tracks consumer placements, and provides clinical guidance to support informed treatment and placement decisions. Responsibilities include conducting face‑to‑face assessments, monitoring treatment progress and outcomes, promoting quality and cost‑effective care, and preparing regular utilization reports with recommendations for acute, sub‑acute, or community‑based services. This position plays a critical role in ensuring consumers receive timely, clinically appropriate, and least restrictive treatment options, while supporting regional behavioral health initiatives. To Qualify For This Position, Candidates Must Have Master's degree in Human Services. Three (3) years of experience in behavioral health, including utilization management. Benefits Health, Vision, and Dental Insurance Virginia Retirement System Flexible Spending Account (FSA) Life Insurance 11 Paid Holidays The selected candidate must successfully pass a criminal history fingerprint background investigation, DMV record check, Child Registry search, drug screening test and employment reference checks. #J-18808-Ljbffr Hampton-Newport News Community Services Board