Utilization Review Coordinator

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.

Position Overview :

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.

Key Responsibilities :

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 :

Collaboration & Communication :

Denials & Appeals Support :

Other Duties :

Qualifications :

Why Join Us?