Behavioral Health Utilization Coordinator in Clarkston, Georgia at POSITIVE GROWTH INC

Location: Clarkston, GA (In-Office)
Organization: Positive Growth Inc.

Positive Growth Inc. is a premier residential and community-based mental health service provider dedicated to supporting children, youth, and families through life’s most challenging transitions. Our mission is to provide high-quality, culturally responsive, and strength-based services that empower individuals to live meaningful and productive lives.

The Behavioral Health Utilization Coordinator serves as a critical operational partner within our community-based mental health programs. This role ensures that services remain authorized, documentation stays compliant, and client care continues without interruption.

This is not a direct therapy role, but a key support position that works closely with licensed clinicians to ensure the clinical and administrative systems behind care are running efficiently and effectively.

The ideal candidate is highly organized, detail-oriented, and thrives in a structured environment where accuracy and timeliness are essential to client success.

• Submit and manage prior authorizations and concurrent reviews within required timelines
• Track authorization statuses and proactively notify clinical staff of approvals, denials, or upcoming expirations
• Communicate with insurance providers and Care Management Organizations (CMOs)
• Assist in resolving authorization-related billing or documentation issues

• Review client records to ensure completeness (signatures, dates, required forms)
• Identify documentation deficiencies and notify clinicians/supervisors
• Prepare records for internal, state, and federal audits
• Maintain tracking systems for authorizations, treatment plans, and compliance deadlines

• Assign clients to therapists and paraprofessionals based on availability
• Monitor treatment plan due dates and ensure timely updates
• Assist with updating goals and objectives in the electronic health record (as directed)
• Ensure documentation is properly uploaded and maintained

• Collect demographic and non-clinical information from clients and collateral contacts
• Enter and maintain accurate data in electronic health records and tracking systems
• Support productivity tracking and reporting

• Assist with discharge documentation and coordination
• Support non-clinical aspects of client transitions between services

• Participate in utilization review and quality improvement activities
• Assist with data tracking and reporting for performance initiatives

• Bachelor’s degree in Psychology, Social Work, Human Services, or a related field
• Strong organizational skills and attention to detail
• Ability to manage multiple deadlines and priorities
• Proficiency with Microsoft Office (especially Excel)
• Excellent written and verbal communication skills

• Experience in behavioral health, community mental health, or human services
• Familiarity with Electronic Health Records (EHR) systems
• Knowledge of Medicaid, insurance authorization processes, or CMOs
• Understanding of HIPAA and documentation compliance requirements

• Maintain strict confidentiality in accordance with HIPAA and agency policies
• Communicate professionally with staff, supervisors, and external partners
• Demonstrate reliability, accountability, and strong ethical standards
• Perform additional duties as assigned within the scope of the role

At Positive Growth Inc., you’ll join a mission-driven team that is deeply committed to improving the lives of children and families. This role offers an opportunity to build valuable experience in behavioral health operations while contributing to meaningful, community-based work.