Coordinator – Utilization Management
AdamsPlaceOur take on this role
About this role
Manage insurance authorizations and concurrent reviews for inpatient and Intensive Outpatient Program services at a behavioral health hospital in Knoxville. Utilization Management experience is required.
What could you bring from clinical work?
- Nurses: Your experience reviewing clinical records and documenting treatment needs could help you submit clinical information to support continued treatment.
- Social workers: Documenting psychosocial needs and coordinating access to treatment may help you manage concurrent reviews and communicate with payers.
Full job description from AdamsPlace
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 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. Apply today!
Equal Opportunity Employer