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Utilization Review Specialist

Charlie Health
Location
Remote, United States
Posted
1 month ago
Department
Utilization Review
What they actually want (must-haves)
  • Active, Unrestricted Professional License (MD, DO, PsyD, PhD, LCSW, LMFT, LPC, or LCPC)
  • 2+ years of experience in a utilization role within the behavioral health field
  • Google proficiency
  • Strong interpersonal and relationship-building skills
  • Strong project management skills
  • Knowledge of utilization review processes and medical necessity criteria
What the job really is

The Utilization Review Specialist at Charlie Health is responsible for managing a virtual Intensive Outpatient Program (IOP) caseload, ensuring timely communication with insurance payors, and advocating for necessary treatments. This role involves completing pre-certifications, conducting peer-to-peer reviews, and collaborating with various teams to enhance patient experiences and improve operational efficiency.

Benefits
  • Comprehensive benefits for full-time, exempt employees
  • Base compensation between $62,000 and $70,000 per year
  • Performance bonus
  • Potential total cash compensation including bonus between $0 and $900 per month
  • Stock options and other Charlie Health-sponsored benefits
Things to weigh
  • Role is remote but not available to candidates in several states including California, New York, and others
  • Compensation is influenced by location, experience, and internal pay equity
  • No specific mention of career development opportunities or training beyond initial training for clinical teams
Job score2.8/5
Benefits3/5
Freshness4/5
Career value3/5
Role clarity4/5
Pay transparency0/5

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