Utilization Review Specialist-Remote

Responsibilities

• Conduct utilization reviews and obtain prior authorizations from insurance companies
• Monitor continued stay and discharge criteria for clients
• Communicate effectively with clinical and administrative teams
• Maintain accurate and up-to-date documentation
• Ensure all documentation meets insurance and regulatory compliance standards and is completed accurately and on time

Qualifications

• Background or experience in social work, counseling, or behavioral health is preferred
• Experience in utilization review or case management for behavioral health is preferred
• Strong communication and organization skills
• Able to work efficiently in a fast-paced environment
• Confident, proactive, and dedicated work ethic

Benefits

• Competitive salary
• Opportunities for professional development and career advancement
• Supportive and collaborative work environment
• Fulfilling work helping individuals with mental health or substance abuse issues
• Benefits: 401(k), dental insurance, flexible schedule, health insurance, life insurance, paid time off, vision insurance