Utilization Review Coordinator

Founded in 1912 as an adoption agency, Canopy Children’s Solutions is Mississippi’s most comprehensive nonprofit provider of children’s behavioral health, educational, and family support solutions.

Canopy employs a diverse group of mission-driven individuals committed to honoring the voice of Mississippi children and families. Being an integral part of the Canopy team involves committing to the Core Values that drive our organization forward:

• The voice of our children and families always comes first
• Relationships matter and our differences make us stronger
• We take great joy in service to others
• Our families and our communities deserve our very best

Canopy has been recognized as a Great Place to Work® for the fifth consecutive year and is one of only nine companies in Mississippi to earn this certification for 2025–2026. At Canopy, employees are committed to fostering a healthy workplace culture built on trust and driven by a shared mission: helping children thrive and empowering families to overcome extraordinary challenges.

We offer a comprehensive benefits package for all eligible full-time employees. Benefits include, but are not limited to:

• Competitive Compensation
• 403b Retirement Plan with Match
• PTO/Vacation
• Employee Wellness Program and Counseling Services
• The Utilization Review Coordinator acts as a liaison between the organization and the Peer Review Organization (PRO), the physicians, the Interdisciplinary Treatment Team, the Managed Care Organization and Administration.
• This position coordinates the utilization management of behavioral health services for all programs requiring pre-certification for admission.
• The Utilization Review Coordinator coordinates all aspects of the concurrent review process and discharge process in collaboration with the assigned clinical staff.
• Participates in the organization’s performance improvement and quality compliance process.

• Required Physical
  
  Activities:
  
  sitting, standing, walking, reaching, pushing, pulling, grasping, lifting, talking, seeing, hearing, kneeling, stooping, bending, reaching overhead, and climbing stairs as needed and repetitive motions. Must have the physical ability to assist in the physical or therapeutic hold of youth when required, following organization approved safety protocols.
• Characteristics of Work: frequent standing and walking, occasional sitting, lifting and carrying objects up to 50 pounds. Must be able to respond quickly to emergencies and physically assist or support youth and/or staff.
• Vision Requirements: Close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus.
• Environmental Conditions: This job requires exposure to both inside and outside weather conditions; the typical noise level for the work environment is moderate to loud noise.

• Assists in coordinating the interdisciplinary treatment teams.
• Attends staffing, treatment team meetings and clinical communities as applicable for coordination of care and transitional planning for aftercare/discharge services.
• Reviews, evaluates and reports prior authorization, concurrent reviews, and discharges as required by the Peer Review Organization (PRO) and Managed Care Organizations (MCOs) for review.
• Acts as the utilization liaison to the Managed Care Organizations, the Division of Medicaid and its Peer Review Organization (PRO) to facilitate the prior authorization process as needed.
• Utilizes clinical documentation from the electronic health records for children and youth to request concurrent reviews, extensions of using the prior authorization process.
• Facilitates the prior authorization and continued stay process and coordinate the…