Talent.com
Utilization Review Coordinator
Utilization Review CoordinatorYour Behavioral Health • Torrance, CA, US
Utilization Review Coordinator

Utilization Review Coordinator

Your Behavioral Health • Torrance, CA, US
job_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

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

    • Why Join Us?

  • 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!
    • serp_jobs.job_alerts.create_a_job

    Utilization Review Coordinator • Torrance, CA, US

    Job_description.internal_linking.related_jobs
    Interim Director, Oncology

    Interim Director, Oncology

    HCT Healthcare Transformation • Long Beach, CA, US
    serp_jobs.job_card.temporary
    HCT seeks an experienced professional to serve as the Interim Director, Oncology at outpatient facility in California.Education : BSN degree required, MSN preferred. Experience : 12 years of recent an...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    MDS Coordinator / LVN

    MDS Coordinator / LVN

    Sun Mar Management Services • Los Angeles, CA, United States
    serp_jobs.job_card.full_time +1
    We are an equal employment opportunity employer.All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Utilization Review Coordinator

    Utilization Review Coordinator

    Your Behavioral Health • Torrance, CA, US
    serp_jobs.job_card.full_time
    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 r...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    RN Utilization Review Part- time Day

    RN Utilization Review Part- time Day

    Providence Health and Services • Mission Hills, California, United States
    serp_jobs.job_card.part_time +1
    RN Utilization Review - Remote.This position will work full- time in a 8-hr Day shift.Provide prospective, retrospective, and concurrent utilization reviews for our LA ministries.Conduct clinical r...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Regional Operations Supervisor

    Regional Operations Supervisor

    Shared Imaging, LLC • Long Beach, CA, US
    serp_jobs.job_card.full_time
    Shared Imaging is a privately held organization that has been committed to growing organically and has doubled our revenue in the past. We pride ourselves on our "White Glove" service mode...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Dining Room Coordinator

    Dining Room Coordinator

    Belmont Village Rancho Palos Verdes • Rancho Palos Verdes, CA
    serp_jobs.job_card.full_time
    Belmont Village Rancho Palos Verdes -.Full Time Tuesday to Saturday 10 : 30am to 7 : 30pm.This position is a hands-on supervisory position assisting with the restaurant meal service, special events and...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    CT Tech / Long Beach, CA (Onsite)- 13 weeks

    CT Tech / Long Beach, CA (Onsite)- 13 weeks

    Suncap Technology • Long Beach, CA, United States
    serp_jobs.job_card.full_time
    Night shift, 5x8-hour days (10 : 00 PM - 6 : 30 AM), with occasional "Mids Start " and alternating variable start times of 2 : 30 PM - 11 : 30 PM. Scheduled by the lead CT tech and manager.Minimum : 2 years ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Clinical Care Coordinator

    Clinical Care Coordinator

    MASC Medical Recruitment Firm • Long Beach, CA, US
    serp_jobs.job_card.full_time
    The Clinical Care Coordinator – LTAC Transitions facilitates safe, timely, and well-coordinated transitions of patients from Long-Term Acute Care (LTAC) settings to lower—but medically appropriate—...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Utilization Review RN - UTIL MGMT

    Utilization Review RN - UTIL MGMT

    Providence Health & Service • Mission Hills, CA, United States
    serp_jobs.job_card.full_time
    Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care to the members. Providence caregivers are not sim...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    New Patient Access Coordinator

    New Patient Access Coordinator

    University of California - Los Angeles Health • Los Angeles, CA, United States
    serp_jobs.job_card.full_time
    The Intake Coordinator serves as the first point of contact and.This involves but not limited to.The Intake Coordinator is responsible for registering patients in Care Connect and Salesforce, the d...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Outpatient Manager

    Outpatient Manager

    SIERRA VISTA HOSPITAL • Long Beach, CA, US
    serp_jobs.job_card.full_time
    Sierra Vista Hospital is seeking a talented and dynamic Outpatient Clinical Manager to join our team of dedicated healthcare professionals!. The ideal candidate will have a broad experience in the p...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Imaging Services Manager-CT&DX (CT)

    Imaging Services Manager-CT&DX (CT)

    Power Personnel • Long Beach, CA, US
    serp_jobs.job_card.full_time
    Imaging Services Manager – CT & Diagnostic X-ray.Are you an experienced Imaging Services Manager looking to take your leadership career to the next level?. Join a respected hospital team in Moun...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Sterile Processing Coordinator

    Sterile Processing Coordinator

    BrothersTech • Long Beach, CA, US
    serp_jobs.job_card.full_time
    Supervise sterile processing technicians and coordinate shift assignments to ensure adequate coverage and workflow.Monitor the decontamination, assembly, sterilization, and distribution of surgical...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    MDS Coordinator

    MDS Coordinator

    PACS Inc • Los Angeles, CA, United States
    serp_jobs.job_card.full_time
    Every effort has been made to identify the essential functions of this position.However, it in no way states or implies that these are the only duties you will be required to perform.The omission o...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Remote Utility Management Nurses (Insurance Coding & Revenue Management) - AI Trainer ($45-$75 per hour)

    Remote Utility Management Nurses (Insurance Coding & Revenue Management) - AI Trainer ($45-$75 per hour)

    Mercor • Burbank, California, US
    serp_jobs.filters.remote
    serp_jobs.job_card.part_time
    Role Overview • • We’re seeking experienced • •Utility Management Nurses • • to support a client’s healthcare product development by leveraging expertise in • •insurance coding and hospital revenue manag...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Trauma Program Manager RN

    Trauma Program Manager RN

    Confidential • Long Beach, CA, US
    serp_jobs.job_card.full_time
    The Trauma Program Manager ensures the trauma registry and Quality Improvement reports are maintained, supports staff education, monitors patient progress, and manages day-to-day operations of trau...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_hour • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Senior Donor Relations Coordinator-11-001-SC / Carson DHQ (Divisional Headquarters)

    Senior Donor Relations Coordinator-11-001-SC / Carson DHQ (Divisional Headquarters)

    The Salvation Army USA Western Territory • Carson, CA, United States
    serp_jobs.job_card.full_time
    The Salvation Army, an international movement, is an evangelical part of the universal Christian church.Its message is based on the Bible. Its ministry is motivated by the love of God.Its mission is...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
    Utilization Review Nurse

    Utilization Review Nurse

    Ampcus • Los Angeles, CA, United States
    serp_jobs.job_card.full_time
    Technology and Business consulting services.We are in search of a highly motivated candidate to join our talented Team.Ensuring appropriate, cost-effective, and high-quality care for New Century He...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted