BH Utilization Mgmt Coord-PMM
Macon, GAFull-timePosted 2w agoStill listed today
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At a glance
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Requirements
Credentials this posting asks for.
Job overview
This position ensures admitted behavioral health patients have the appropriate level of care, patient status, authorization status, and plan of care, and meet medical necessity. It monitors patient progress and continued-stay medical necessity, while ensuring payors receive clinical information needed to authorize services, covered days, and associated services.
Skills & qualifications
Skills
Qualifications
Full job description
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
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Bachelor’s Degree from an accredited nursing school, B.A/ B.S Required or
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Bachelor’s Degree in Social Work Required
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Master’s Degree Preferred
Work Experience
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2 years of experience in an acute, post-acute, managed care, psychiatric, or revenue cycle Required
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Previous experience with InterQual and/or MCG guidelines Required
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Previous experience in Utilization Management and/or Appeals Required
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Previous Epic experience or Meditech/MIDAS experience Required
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Previous experience in prior authorization process Required
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Utilization Review or Care Management experience Preferred
Licenses and Certifications
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Current unrestricted registered nurse (RN) license or LMSW/LCSW, in the state of Georgia. Upon Hire Required or
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LPC/LMFT also acceptable Upon Hire Required
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CCM - Certified Case Manager Case Management Certification (CCM) or American Case Management Association (ACMA) certification Preferred
Business Unit : Company Name Piedmont Healthcare Corporate
How this job compares
Set against the 380 open Utilization Management jobs on Olive Jobs, counted November 7, 2026.
- Pay
- This postingNot listed
- US median$118–236K/yr217 salary ranges
- US median$29–51/hr70 hourly ranges
- Openings
- Olive Jobs lists 23 open Utilization Management jobs in Georgia and 380 across the US. 23% of them nationwide are listed as remote or flexible.
- Hiring the most in Georgia
- Wellstar Health System11 open
- Kaiser Permanente4 open
- Highmark Health2 open
- Experience
- This posting asks for at least 2 years of experience; Utilization Management postings that state a minimum ask for 5 years at the median (352 postings).
- Education
- 139 of the 380 open Utilization Management jobs (37%) ask for a bachelor's degree or higher.
Counted across the open, public US postings on Olive Jobs on November 7, 2026. Pay medians are the middle values of the low ends and of the high ends of postings that list both ends of a range in the same cadence (a yearly salary or an hourly rate); a range's midpoint is halfway between its ends. Pay and experience figures resting on fewer than 20 postings are left out.
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