Utilization Review Specialist

Ur specialist – join camber and make an impact

At Camber Mental Health [https://cambermentalhealth.org/?utm_source=chatgpt.com], we are committed to helping children, youth and families thrive through compassionate, high-quality behavioral healthcare. With an Indeed Work Wellbeing Score of 83, Camber offers a supportive and mission-driven environment where employees can grow while making a meaningful difference every day.

Job summary

The Utilization Review department manages all aspects of a patient’s stay related to initial authorization, concurrent reviews and discharge coordination with health plans. The UR Specialist serves as the primary contact with insurance providers and works closely with admissions, physicians, nurses, therapists and treatment teams to ensure timely, accurate and complete assessments and service coordination for children and youth.

This position requires exceptional attention to detail, organization and communication skills in a fast-paced healthcare environment focused on quality care and compliance.

Schedule

Monday–Friday | 8: 00 AM – 5:00 PM

Hybrid work opportunity

Candidates may elect to work a hybrid schedule of 2 days in office and 3 days remote after successfully completing their first 90 days in office and receiving a positive 90-day performance evaluation.

• What you’ll do
• Coordinate communication with health plans and insurance companies
• Review and manage authorizations and child-specific contracts
• Ensure accurate documentation within electronic health records
• Compile, summarize and enter clinical and assessment information
• Assist with intake assessments and discharge summaries
• Support admissions paperwork and utilization review functions
• Prepare reports, forms and appeals for insurance providers
• Conduct documentation reviews to ensure compliance and quality standards
• Assist with audits, quality assurance initiatives and special projects
• Maintain strict confidentiality of child, youth and family information