Charlie Health
Utilization Review Specialist
This job is now closed
Job Description
- Req#: 4684136004
Employer Industry: Behavioral Health Services
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Comprehensive benefits package for full-time employees
- Supportive and collaborative work environment focused on mental health
- Chance to make a positive impact on access to behavioral healthcare
- Engage in meaningful work that addresses the mental health crisis
- Work remotely, allowing for flexibility in your work environment
What to Expect (Job Responsibilities):
- Oversee all functions of a virtual Intensive Outpatient Program (IOP) caseload
- Collaborate with management to problem-solve complex cases
- Complete pre-certifications and authorizations for virtual IOP clients promptly
- Follow up on outstanding authorizations and report barriers to management
- Deliver training to clinical teams for high-quality documentation standardization
What is Required (Qualifications):
- High School Diploma
- Minimum of 2 years of experience in a utilization role within the utilization review field
- Proficiency in Google applications
- Strong interpersonal and relationship-building skills
- Knowledge of utilization review processes and healthcare regulations
How to Stand Out (Preferred Qualifications):
- Familiarity with InterQual, MCG, or similar clinical guidelines
- Strong project management skills in a fast-paced environment
- Experience advising and presenting to senior corporate personnel
- Proficiency with electronic medical records (EMR) and utilization management systems
- Understanding of HIPAA and patient confidentiality requirements
#BehavioralHealth #MentalHealthCare #RemoteWork #CareerOpportunity #HealthcareJobsAbout the company
Charlie Health's virtual Intensive Outpatient Program is focused on helping teens, young adults, and their families in healing.
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