Utilization Review Coordinator

Your Behavioral Health provided pay range

This range is provided by Your Behavioral Health. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

$22.00/hr - $26.00/hr

About Us:

Your Behavioral Health is dedicated to providing exceptional, evidence-based mental health and addiction treatment through Clear Behavioral Health and Neuro Wellness Spa. Our UR team plays a vital role in ensuring clients receive timely and medically necessary care.

We are seeking a detail-oriented, proactive Utilization Review (UR) Coordinator to support insurance authorization processes across all levels of care — including Detox, Residential, PHP, IOP — as well as Transcranial Magnetic Stimulation (TMS) services. The UR Coordinator will collaborate closely with clinical teams and payors to advocate for clients, secure appropriate insurance authorizations, and support a smooth treatment experience.

• Insurance Authorizations:
  • Obtain initial and concurrent authorizations for Detox, Residential, PHP, and IOP programs
  • Obtain TMS service authorizations for Neuro Wellness Spa
  • Conduct clinical reviews and advocate with commercial health plans to support medically necessary care
  • Track authorization timelines and follow up promptly on outstanding requests
• Documentation & Systems:
  • Maintain accurate, real-time records of authorization activity
  • Gather and review clinical documentation to support authorization requests
  • Document all communications with payors clearly and thoroughly
  • Communicate regularly with insurance representatives, clinical teams, and leadership about authorization status and updates
  • Work collaboratively with the UR team to improve processes and enhance coordination of care
• Denials & Appeals Support:
  • Assist with denial management, support appeal efforts with case summaries and clinical data
  • Help identify trends in authorization delays or denials and provide input to leadership
• Other Duties:
  • Perform other responsibilities as assigned to support team goals and company needs

• 1–2 years of utilization review experience, preferably in behavioral health or mental health settings
• Experience obtaining Detox, Residential, PHP, and IOP authorizations with commercial payors
• Familiarity with TMS treatment and authorization processes
• Experience with commercial health plans and payor authorization protocols
• Proficiency with EMR systems, Microsoft Word, and Excel
• Strong written and verbal communication skills
• Ability to multitask, prioritize, and work efficiently in a fast-paced environment
• Professional, collaborative, and passionate about patient advocacy

• Your Behavioral Health offers a supportive, collaborative work environment where your contributions truly matter. Join our team and help us advocate for access to high-quality mental health care!

Entry level

Full-time

Health Care Provider

Mental Health Care

• Medical insurance
• Vision insurance
• 401(k)