Utilization Review (UR) Coordinator
Department for Persons with Disabilities, Trenton, NJ, United States
Location
Parsippany NJ
Hours
Full Time (Monday through Friday: 8:30am – 4:30pm)
Salary
Up to $32.80 (with experience)
Job Summary
The Utilization Review Coordinator is responsible for securing and maintaining payer authorizations for behavioral health services, ensuring medical necessity, appropriate level of care placement, and reimbursement optimization. This role serves as the liaison between clinical teams, admissions, and insurance payers to support continuity of care and financial sustainability.
Qualifications
2–5+ years in behavioral health, substance use treatment, or utilization review
Experience with insurance authorization processes and medical/clinical necessity criteria
Familiarity with ASAM criteria strongly preferred
Strong clinical documentation review skills
Knowledge of payer systems (State Contracts, FFS Initiatives, Medicaid, MCO, Third Party)
Excellent communication and negotiation skills
Detail-oriented with strong organizational abilities
Ability to manage multiple cases and deadlines
Benefits
We provide PAID training
Medical/vision and dental
Life insurance (agency-paid), supplemental life insurance (employee-paid)
Flexible spending accounts
Accidental/Critical Illness Insurance
403B (with company-matching)
Generous paid time off
All offers of employment are contingent on the successful completion/passing of our criminal background/references/DMV check, fingerprinting, pre-employment physical and drug test, etc.
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Parsippany NJ
Hours
Full Time (Monday through Friday: 8:30am – 4:30pm)
Salary
Up to $32.80 (with experience)
Job Summary
The Utilization Review Coordinator is responsible for securing and maintaining payer authorizations for behavioral health services, ensuring medical necessity, appropriate level of care placement, and reimbursement optimization. This role serves as the liaison between clinical teams, admissions, and insurance payers to support continuity of care and financial sustainability.
Qualifications
2–5+ years in behavioral health, substance use treatment, or utilization review
Experience with insurance authorization processes and medical/clinical necessity criteria
Familiarity with ASAM criteria strongly preferred
Strong clinical documentation review skills
Knowledge of payer systems (State Contracts, FFS Initiatives, Medicaid, MCO, Third Party)
Excellent communication and negotiation skills
Detail-oriented with strong organizational abilities
Ability to manage multiple cases and deadlines
Benefits
We provide PAID training
Medical/vision and dental
Life insurance (agency-paid), supplemental life insurance (employee-paid)
Flexible spending accounts
Accidental/Critical Illness Insurance
403B (with company-matching)
Generous paid time off
All offers of employment are contingent on the successful completion/passing of our criminal background/references/DMV check, fingerprinting, pre-employment physical and drug test, etc.
#J-18808-Ljbffr