About River Edge Behavioral Health Serving more than 10,000 Georgians, River Edge continues to be one of the state's leading resources for mental health, substance use disorder treatments and supports as well as individu…
Skills: Utilization Review, Care Coordination, Insurance Authorization Management, Medical Necessity Compliance, Administrative Oversight
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Job Number: 34580 Location: Phoebe Putney Memorial Hospital Street Address: 417 W 3rd Ave City, State: Albany, Georgia Zip Code: 31701 Department: PPHS MARKETING Shift: Days Job Type: Full time Posted Date: 2026-07-15 Jo…
The coordinator ensures clients receive appropriate behavioral health care by managing medical necessity, authorizations, and documentation. Key tasks include processing Connects batch files, managing BHL CSU authorizations, and coordinating state discharge processes.
Requirements
A high school diploma is required, though a bachelor's degree in a helping profession is preferred. Candidates should possess 1 to 3 years of experience in utilization management.
Full job description
About River Edge Behavioral Health
Serving more than 10,000 Georgians, River Edge continues to be one of the state's leading resources for mental health, substance use disorder treatments and supports as well as individuals with intellectual and development disabilities. River Edge offers outpatient services at our Emery Highway-Macon, Monroe County and Baldwin County locations. Outpatient services include behavioral health, nursing, and psychiatric assessment, stabilization and medication maintenance services as well as crisis intervention services as well as awareness, education and recovery groups.
Utilization Management Coordinator
Company Overview:
At River Edge Behavioral Health in Macon, GA, employees are expected to develop meaningful relationships with patients, establishing trust and making a difference in the lives of clients and their families. We believe in supporting our team as well as our clients with our comprehensive benefits package and a supportive work culture, including health, dental, and vision benefits, paid vacation, retirement plans, and more.
Position Overview:
The Utilization Management Coordinator role is focused on ensuring clients receive the appropriate level of behavioral health care while maintaining compliance with medical necessity, authorization, and documentation requirements. The position combines utilization review, care coordination, insurance authorization management, and administrative oversight within behavioral health services.
Location/Schedule:
3575 Fulton Mill Road, Macon, GA.
Key Responsibilities
Create Connects batch files
Retrieve and process response files from Beacon’s SFTP site
Work Connects documents in rejected, denied, hold, no CID, multi-final payer and status appropriately
Review discharge connects and flip to UM complete
Manage and process BHL CSU authorizations and update Carelogic
Review and process AC file for BHL CSU authorization
Complete State Discharge process for Fulton locations
Create PTRF referral via Beacon authorization request
Review and process Connects documents in UM review
Qualifications
High School Diploma (Bachelors in helping profession such as social work, community counseling, counseling psychology, or criminology preferred)
1-3 years of utilization management experience
Additional Benefits:
Flexible spending accounts
11 Paid holidays
Voluntary Life Insurance
If you are looking for an opportunity to make life better and a strong desire for personal growth we encourage you to apply. We promptly review all applications. Highly qualified candidates will be contacted for interviews.
We are an equal opportunity employer and highly value diversity. We do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
All selected applicants must pass a satisfactory background clearance and pre-employment drug test.
River Edge Behavioral Health offers a full continuum of mental health, substance abuse disorder, and intellectual disability support services throughout Georgia. With more than 700 dedicated, compassionate, and professional employees, River Edge makes life better for more than 10,000 Georgians annually.
Offices: 175 Emery Hwy, Macon, GA 31217, US · 168 Old Brent Road, Forsyth, GA 31029, US · 60 Hwy 22 West, Milledgeville, GA 31061, US
Based on 786 listings with disclosed salaries, most administrative jobs in Georgia pay between $48k–$95k per year. Individual offers vary with seniority, company size, and specialization.
How many Administrative jobs are open in Georgia right now?
There are currently 7,720 open administrative positions in Georgia listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Administrative roles in Georgia?
Companies currently hiring include Northside Hospital, Emory Healthcare, Emory University Department of Economics, PruittHealth, Piedmont HealthCare, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Administrative jobs in Georgia?
Yes — 1052 of the 7720 open administrative positions offer remote or hybrid work (385 remote, 667 hybrid).
How do I apply for Administrative jobs in Georgia?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.