Utilization Review Specialist - Behavioral Health (Remote)

Employer Industry: Behavioral Healthcare ManagementWhy consider this job opportunityStarting pay up to $50,000 per year, based on experienceFree Teladoc access and visits for employees and eligible dependentsComprehensive benefits beginning on the 1st day of the month following the date of hireMatching HSA contributions of up to $1,500 per yearEmployee Referral Bonus of up to $4,000Opportunity to make a tangible difference in the lives of patients and their familiesWhat to Expect (Job Responsibilities)Complete pre-authorizations, concurrent reviews, and internal utilization review assessmentsConsult with the multidisciplinary treatment team to gather necessary information for concurrent reviewsSchedule peer-to-peer reviews and coordinate urgent/expedited appealsStaff individual cases with medical doctors as requiredMaintain compliance with all standard utilization review policies and proceduresWhat is Required (Qualifications)Bachelor's degree in a health or behavioral health-related field required; graduate degree preferredHigh School diploma or equivalent and a state license (e.g., Registered Nurse, Licensed Practical Nurse, LCSW, LMHC) preferredMinimum of three years' experience in a psychiatric or chemical dependency settingMinimum of three years' utilization review experience preferredState licensure preferred (Registered Nurse, Licensed Practical Nurse, Licensed Clinical Social Worker, Licensed Mental Health Counselor)How to Stand Out (Preferred Qualifications)Experience in behavioral health management or addiction treatment settingsFamiliarity with ASAM criteria and utilization review processesStrong organizational skills and ability to manage multiple tasks under pressureExcellent communication skills with managed care companiesProactive problem-solving skills in a healthcare environment#BehavioralHealth #UtilizationReview #HealthcareJobs #MentalHealth #CareerGrowth#J-18808-Ljbffr