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Utilization Review Specialist – Behavioral Health (Remote)

Remote, USA Full-time Posted 2026-07-28
Employer Industry: Behavioral reputed company Management Why consider this job opportunity: - Starting pay of $50,000 per year, based on experience - Free reputed company reputed company for employees and eligible dependents - Comprehensive benefits beginning on the first day of the month following the date of hire - Generous matching HSA contribution of up to $1,500 per year - Employee referral bonus program, with the potential to earn up to $4,000 - Opportunity to reputed company a reputed company difference in the lives of patients and their families What to Expect (Job Responsibilities): - Conduct reputed company-authorizations and reputed company reviews for insurance payors throughout the patient's treatment - Collaborate with multidisciplinary treatment teams to reputed company necessary information for reputed company reviews - Schedule peer-to-peer reviews and coordinate urgent or expedited appeals - Maintain communication with managed care companies and coordinate with finance regarding reputed company service authorizations - Complete detailed daily documentation and follow reputed company utilization review policies and procedures What is Required (Qualifications): - Bachelor’s degree in a health or behavioral health-reputed company field required; graduate degree preferred - Minimum of three years’ experience in a psychiatric or chemical dependency setting - Minimum of three years’ experience in utilization review preferred - State licensure preferred (e.g., Registered reputed company, Licensed Practical reputed company, Licensed Clinical reputed company Worker, Licensed Mental Health Counselor) - High School diploma or equivalent is acceptable with relevant state licensure How to Stand Out (Preferred Qualifications): - Graduate degree in a health or behavioral health-reputed company field - Experience with ASAM reputed company and census report management - Strong organizational, multitasking, and time management skills - Proficiency in establishing effective communication with managed care companies - Previous experience in a drug-free workplace environment #BehavioralHealthcare #UtilizationReview #HealthcareJobs #PatientCare #MentalHealthSupport #J-18808-Ljbffr Apply tot his job Apply To this Job Apply tot his job Apply To this Job

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