Job Summary

A company is looking for a Utilization Review Specialist in Behavioral Health.

Key Responsibilities:

• Performing pre-certifications, conducting concurrent reviews, and reporting discharges
• Communicating with clients in the behavioral healthcare and substance abuse industries
• Working with insurance companies to gain approval for services

Required Qualifications:

• 4 years' experience in utilization review within the behavioral healthcare field
• Familiarity with ASAM criteria, substance abuse treatment, and HIPAA guidelines
• Experience with EMR within the behavioral healthcare industry
• Proficiency with Microsoft Office products
• Experience working with insurance companies to gain approval for services