Utilization Management Coordinator – Pre-Arrival

Saint Francis Health System

Utilization Management Coordinator reviewing behavioral health patients, authorizations, benefits, and discharge planning for Saint Francis Health System. Supporting quality improvement and insurance appeals remotely from Oklahoma.

Posted 8/17/2026part-timeRemote • Oklahoma • 🇺🇸 United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in behavioral health care, including utilization management and compliance with managed care standards. Proficient in data analysis, clinical documentation, and effective communication within treatment teams.

Highest-signal resume keywords

Behavioral Health ExperienceUtilization ManagementRegistered Nurse LicenseData Analysis SkillsClinical Documentation

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Utilization ReviewDischarge PlanningInsurance AppealsClinical Case Data SynthesisQuality ImprovementPatient Eligibility ReviewManaged Care ComplianceTreatment Information GatheringProcess ImprovementStaff Education

Soft Skills

Effective CommunicationInterpersonal SkillsOrganizational SkillsDetail OrientationPrioritization Skills

Tools & Technologies

Microsoft WordMicrosoft ExcelMicrosoft Access

Certifications & Qualifications

Registered Nurse LicenseLCSWLPCLMFT

Industry Keywords

Behavioral HealthInpatient Psychiatric CareManaged CareClinical SupportPatient Care Committee

About the role

Key responsibilities & impact

Provide administrative and clinical support throughout patient reviews, placement in levels of care, receipt of necessary services, and discharge planning
Participate in treatment teams and communicate reimbursement issues to providers
Participate in the Patient Care Committee and Utilization Review Staff Committee
Provide data and contribute to internal process improvement
Provide staff education as needed
Meet review intervals and supply clinical information for authorization
Respond to requests for additional clinical detail
Provide eligibility, benefits, and level-of-care information to treatment teams and committees
Seek treatment information for service authorization reviews
Contribute to discharge planning and quality-of-care process improvement
Identify and report quality improvement triggers
Review patient eligibility and benefits and match level-of-care utilization
Ensure compliance with managed care behavioral health standards and documentation requirements
Investigate and prepare insurance appeals related to medical necessity or treatment issues
Participate in ongoing utilization management and utilization review process improvement

Requirements

What you’ll need

Behavioral health, inpatient psychiatric, or utilization management experience preferred
Completed the basic professional curricula of a school of nursing approved and verified by a state board of nursing, with a diploma or degree, or a Master's degree in Social Work, Counseling, or a related behavioral health field
Valid multistate or State of Oklahoma Registered Nurse License, or LCSW, LPC, or LMFT license
3–4 years of related experience in behavioral health care, some of which may be in behavioral health managed care
Working knowledge of Microsoft Word, Excel, and Access
Effective interpersonal, written, and oral communication skills
Ability to analyze data to discover facts or develop knowledge, concepts, or interpretations
Ability to organize and prioritize work effectively and efficiently
Detail orientation when examining numerical data
Ability to synthesize clinical case data into concise summaries
Availability for Monday–Friday, 8:00 a.m.–4:30 p.m. schedule

Benefits

Comp & perks

Limited benefit offerings
Virtual Office arrangement