Utilization Review Coordinator in Long Beach, California at View Behavioral Health LLC

About View Behavioral Health

We are proud to serve as a trusted resource for our community, providing high-quality mental health care with compassion and integrity. Our Long Beach facility currently operates as a 79-bed adult voluntary acute inpatient program, offering private rooms and individualized treatment delivered by a multidisciplinary team. We are dedicated to best practices and person-centered care, supporting each patient's journey toward stability and recovery. To promote continuity of care beyond inpatient treatment, we also offer Partial Hospitalization (PHP) and Intensive Outpatient (IOP) programs tailored to meet each individual's clinical needs. We are also actively expanding our services across Southern California, with our new San Bernardino campus expected to open in early 2026.

Location: On-Site in Long Beach, CA Schedule: 8-hour shifts

Pay Range: $26.00-28.00 hourly

Position Summary

The Utilization Review (UR) Coordinator provides administrative support to ensure compliance with HMO, Medicare, and Medi-Cal insurance requirements throughout patient hospitalizations. Key responsibilities include auditing charts, analyzing resource utilization patterns, reporting trends to the Utilization Review Committee, and implementing systems to improve care efficiency.

Make a difference by providing quality care alongside us at Ocean View!

Key Responsibilities

Manage clerical processes related to Medi-Cal patientsExtensive experience in insurance eligibility and benefitsMaintain accurate patient and payer recordsSubmit 24-hour notification into LA County TAR Unit Database Complete and submit TAR forms accuratelyPrint or upload patient medical records as requiredTrack TAR submissions to ensure Timely processing and Approval or denial status updatesTAR Tracking & ComplianceVerify TAR details in Medi-Cal system Monitor deadlines and ensure compliance with all timelinesManage denied TARs by tracking appeal deadlines, Preparing, and submitting appeal TARsMaintain tracking logs for all initial and appeal TARsWhile primarily assigned to the inpatient unit, may be required to support the Structured Outpatient Services Program (IOP/PHP) based on census fluctuations and departmental needsWhile primarily assigned to the Structured Outpatient Services Program (IOP/PHP), may be required to support the inpatient unit based on census fluctuations and departmental needs

Minimum Qualifications

If not licensed, must have a Bachelors degree in social work or a related healthcare fieldAbility to interact and communicate verbally and in writing with seriously and persistently mentally ill Patients, other staff members, and the public.Ability to speak, read, and write legibly in English.Minimum of two (2) years of experience in behavioral health, healthcare, or hospital settings.Strong teamwork and collaboration skills across disciplines and departments.Proficiency in the use of computers and standard keyboard functions for data entry and electronic documentation.Experience using Electronic Health Records (EHR) systems for documentation and coordination of care.

Preferred Qualifications

AA degree with a California RN, LVN, or LPT license.Bilingual English/Spanish +.Excellent verbal and written communication as well as strong interpersonal and organizational skills required. Medical Records certification preferred. Previous JCAHO experience preferred. Prior experience using Electronic Health Records (EHR) systems for documentation and coordination of care.

Benefits

Comprehensive medical, dental, and vision insurance for qualifying employees401(k) retirement savings plan Supportive, team-oriented work environmentOpportunities for professional growth, training, and advancement within the organization

Special Conditions

Employment is contingent upon successful completion of Live Scan fingerprinting, background check clearance, and verification of required licenses, certifications, and educationSatisfactory completion of professional reference checksMust be legally authorized to work in the United States; Ocean View does not provide visa sponsorship for certain roles unless otherwise specifiedCompliance with all applicable federal, state, and local regulations, including California Department of Health Care Services (DHCS), The Joint Commission, and HIPAA standardsCompliance with all required health screenings and immunizations in accordance with regulatory guidelines and facility policy, which may include tuberculosis (TB) testing, N95 fit testing, annual trainings, and proof of vaccination for certain communicable diseasesAvailability to work weekends based on operational or patient care needsDemonstrate understanding and be compliant with Patients' Rights, LPS Statutes, and Seclusion and Restraint Protocols.The pay range for this role is:26 - 28 USD per hour(Long Beach)