Utilization Review Specialist (Full Time) jobs in United States
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Sheppard Pratt · 2 days ago

Utilization Review Specialist (Full Time)

positionTowson, MD
timeFull-time
remoteOnsite
seniorityEntry Level
money$18.50/hr - $26.04/hr
date2+ years exp

Sheppard 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
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H1B Sponsor Likelynote
Hiring Manager
Emma Edwards
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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

Utilization review processesPublic mental healthSpreadsheet softwareAssessmentClinical skillsInterpersonal skillsOrganization skills

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

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Sheppard Pratt is a behavioral health and special education system.
dateFounded in 1853
location
Baltimore, Maryland, USA
people-size1001-5000 employees
web-link
https://sheppardpratt.org/

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 Stage
Total Funding
$0.23M
Key Investors
Horizon Foundation
2023-01-19Grant· $0.23M

Leadership Team

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Harsh Trivedi
President and CEO
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Donna Richardson
Vice President & Chief Development Officer
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Recent News

PR Newswire
New Clinical Trial Conducted at Sheppard Pratt Identifies Predictors of Response to Vagus Nerve Stimulation for Treatment-Resistant Depression
2025-10-13
PR Newswire
Sheppard Pratt Breaks Ground on New Residential Crisis Program in Howard County
2025-06-09
Behavioral Health Business
Headline Risk May Shift JV Market Away from For-Profit Operators
2025-02-21
Company data provided by crunchbase