Utilization Mgmt Coord - Behavioral Health
piedmont· Behavioral Health
About this role
Overview
The purpose of this position is to ensure that admitted patients have the appropriate level of care, patient status, authorization status, plan of care and meet medical necessity for the behavioral health services. This role monitors that the patient is progressing in their plan of care and meet medical necessity for continued stay. This role ensure that patient's payor has the clinical information with which to authorize the behavioral health service and continued stay service to include covered days and associated services.Responsibilities
The purpose of this position is to ensure that admitted patients have the appropriate level of care, patient status, authorization status, plan of care and meet medical necessity for the behavioral health services. This role monitors that the patient is progressing in their plan of care and meet medical necessity for continued stay. This role ensure that patient's payor has the clinical information with which to authorize the behavioral health service and continued stay service to include covered days and associated services.Qualifications
Education- Bachelor’s Degree from an accredited nursing school, B.A/ B.S or Required or
- Bachelor’s Degree in Social Work Required or
- Master’s degree Preferred
- 2 years of experience in an acute, post-acute, managed care, psychiatric, or revenue cycle Required
- Previous experience with InterQual and/or MCG guidelines Required
- Previous experience in Utilization Management and/or Appeals Required
- Previous Epic experience or Meditech/MIDAS experience Required
- Previous experience in prior authorization process Required
- Utilization Review or Care Management experience Preferred
- Current unrestricted registered nurse (RN) license or LMSW/LCSW, in the state of Georgia. Required or
- LPC/LMFT also acceptable Required
- Case Management Certification (CCM) or American Case Management Association (ACMA) certification Preferred
Business Unit : Company Name
Piedmont Healthcare CorporateFrequently Asked Questions
Is the salary disclosed for the Utilization Mgmt Coord - Behavioral Health position at piedmont?
The salary for this Utilization Mgmt Coord - Behavioral Health role at piedmont is not publicly listed. Click "Apply Now" to learn more about the compensation package on their official careers page.
Where is the Utilization Mgmt Coord - Behavioral Health position at piedmont located?
This Utilization Mgmt Coord - Behavioral Health role at piedmont is based in Snellville, GA, US. The position is listed as on-site or hybrid. Check the full job description or apply directly to confirm the work arrangement.
Is the Utilization Mgmt Coord - Behavioral Health role at piedmont full-time or part-time?
This is listed as a FULL TIME position. It is posted as a Utilization Mgmt Coord - Behavioral Health role in the Behavioral Health department at piedmont.
Which team or department does the Utilization Mgmt Coord - Behavioral Health at piedmont belong to?
This Utilization Mgmt Coord - Behavioral Health position is part of the Behavioral Health department at piedmont. See the full job description for more information about the team structure and responsibilities.
How do I apply for the Utilization Mgmt Coord - Behavioral Health position at piedmont?
Click the "Apply Now" button on this page. You will be redirected to piedmont's official application portal hosted on icims where you can submit your application directly.
When was the Utilization Mgmt Coord - Behavioral Health job at piedmont posted?
This Utilization Mgmt Coord - Behavioral Health position at piedmont was posted on Feb 23, 2026. Apply as soon as possible — early applications are often reviewed first.
Utilization Mgmt Coord - Behavioral Health
piedmont
You'll be redirected to piedmont's official application page on icims.