Utilization Review Coordinator
Your Behavioral Health, Torrance, CA, United States
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
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
Collaboration & Communication
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
Qualifications
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
Schedule
M-F (fully on-site).
#J-18808-Ljbffr
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
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
Collaboration & Communication
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
Qualifications
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
Schedule
M-F (fully on-site).
#J-18808-Ljbffr