Utilization Review

Utilization Review Specialist – Behavioral Health Facility

We are seeking a confident, detail-oriented Utilization Review Specialist to join our behavioral health team. This role involves reviewing clinical documentation, ensuring medical necessity, managing insurance authorizations, and collaborating with providers to support appropriate and timely care for our clients.

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

Ability 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