Sheppard Pratt · 2 days ago
Utilization Review Specialist (Full Time)
Towson, MD
Full-time
Onsite
Entry Level
$18.50/hr - $26.04/hr
2+ years expSheppard Pratt is a healthcare organization dedicated to changing lives, and they are seeking a Utilization Review Specialist. The role involves supporting the utilization review system through data analysis, report writing, and program improvement, as well as maintaining client entitlements and billing authorizations.
CharityEducationHealth CareNon ProfitSpecial Education
Hiring Manager
Emma Edwards
Responsibilities
Responsible for supporting the utilization review system including data analysis, report writing, and program improvement
UR Specialist will develop and maintain a VOD Tracking and Receipt system
UR Specialist will maintain an expert level review of client entitlements and billing authorizations
Also responsible for securing authorizations and tracking entitlements for enrolled clients
Qualification
Required
Knowledge of the public mental health system and programs, generally acquired through a bachelor's degree in Social Work or Psychology or related degree OR (2) years related work experience
Knowledge of computers and spreadsheet software
Experience with Maryland ASO or other utilization review processes
Substantial level of interpersonal skills in order to communicate effectively with outside agencies and internal customers
Good assessment and clinical skills, including a preeminent knowledge of the rehabilitation model
Excellent organization skills
Benefits
A commitment to professional development, including a comprehensive tuition reimbursement program to support ongoing education and licensure and/or certification preparation
Comprehensive medical, dental and vision benefits for benefit eligible positions
403b retirement match
Generous paid-time-off for benefit eligible positions
Complimentary Employee Assistance Program (EAP)
Generous mileage reimbursement program
Company
Sheppard Pratt
Sheppard Pratt is a behavioral health and special education system.
1001-5000 employees
H1B Sponsorship
Sheppard Pratt has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (5)
2024 (4)
2023 (2)
2022 (4)
2020 (1)
Funding
Current Stage
Late StageTotal Funding
$0.23MKey Investors
Horizon Foundation
2023-01-19Grant· $0.23M
Leadership Team
Harsh Trivedi
President and CEO
Donna Richardson
Vice President & Chief Development Officer
Recent News
2025-06-09
Behavioral Health Business
2025-02-21
Company data provided by crunchbase