Skip to main content
McCarthy Search

Licensed Utilization Review Specialist

L5

virtual vocationsDenver, COtoday

Occupations

Mental Health and Substance Abuse Social WorkersMental Health CounselorsTherapists, All Other

Industries

Outpatient Mental Health and Substance Abuse CentersOffices of Physicians, Mental Health SpecialistsOffices of Mental Health Practitioners
To support a growing behavioral healthcare team, the remote Licensed Utilization Review Specialist will ensure clinically appropriate care and cost-effective utilization of services, managing the review process from patient admission through discharge while collaborating with multidisciplinary teams.
Key responsibilities: Apply utilization criteria to monitor admissions and continued stay reviews Communicate with third-party payers for clinical reviews and document interactions with care team members Review patient charts to confirm ongoing medical necessity and prepare appeals for denied cases as needed
Required qualifications: Master's Degree in Social Sciences or equivalent experience Active substance abuse or mental health licensure in the relevant state Minimum of 1 year of experience in a relevant field Ability to exercise discretion and maintain confidentiality in client interactions Knowledge of medical terminology, ASAM dimensions, and utilization review processes
Apply now (opens in a new tab)
Apply now (opens in a new tab)

Level

SeniorL5

Location

Denver, CO

Occupation

Mental Health and Substance Abuse Social Workers

Industry

Outpatient Mental Health and Substance Abuse Centers

Posted

today

To get sharper similar jobs, create your profile using the link below.

Create profile