Utilization Review Specialist Jobs

Clear Recovery Center are looking to hire anexperienced Utilization Review Specialist.We specialize in Behavioral Health and Mental Health treatment facilities that provide Detoxification, Residential Treatment, Partial Hospitalization, and Intensive Outpatient programs.

What You Can Bring:

• Ability to create a sense of urgency.
• Professional demeanor.
• Experience working with commercial health plans.
• Excellent verbal and written communication.
• Experience w admission and concurrent reviews.
• Willing to be aggressive on behalf of our clients.
• Experience with PHP/IOP and SUD.
• Experience with EHR software.
• 5 years of Utilization Review.

Responsibilities:

Obtain authorizations for clients on behalf of patients in all levels of care.

Utilize various softwares such as EMR systems, KIPU, Microsoft Word and Excel, and other related systems.

Manage caseloads of teen and adult patients receiving care at various in and outpatient facilities treating mental health and substance abuse.

Collaborate with the insurance carriers for authorizations. Communicate via phone in a professional manner with call representatives. As well as with our clients and personnel in-person, via email, or via phone calls. Multitask between phone calls and online resources.

Collaborate with the Utilization Review team.

Annotate phone calls and review with facilities and insurance carriers in various systems.

Utilize the resources of coworkers and team members and be willing to collaborate. Enhance attention to detail and organizational skills.

Perform all other duties as assigned Skills:

Analytical Mindset Problem Solver, Critical thinking, Detail Oriented, Quick Learner, Excellent Oral & Written Communication, Customer Service, Client Relations, Time Management, Organization, Computer Literacy, Alpha/Numeric Keyboard Skills.

Job Type: Full-time

Salary: $75,000.00 - $85,000.00 per year

Benefits:

401(k)

401(k) matching

Dental insurance

Health insurance

Paid time off

Vision insurance

Schedule:

8 hour shift

Monday to Friday

Ability to commute/relocate:

Torrance, CA 90504: Reliably commute or planning to relocate before starting work (Required)

Education:

Bachelor's (Preferred)

Experience:

PHP: 5 years (Preferred)

IOP: 5 years (Preferred)

Substance Abuse: 5 years (Preferred)

Utilization review: 5 years (Required)

Behavioral health: 5 years (Preferred)

Work Location: In person