Charlie Health · 7 hours ago
Utilization Review Specialist
Remote, United States
Full-time
Remote
Entry, Mid Level
$60K/yr - $70K/yr
2+ years exp
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Responsibilities
Oversees all functions of a virtual IOP caseload
Completes peer reviews on cases with insurance
Collaborates at a high level to problem solve on complex cases with Manager
Completes pre-certs and continued stay authorizations for virtual IOP clients in a timely manner
Follows up on all outstanding authorizations and reports all barriers to Manager
Collaborates with Revenue Team and Admissions to improve patient experience from the front door through discharge
Partners with Manager and Director to troubleshoot workflows and processes to achieve efficiency gains in current and future company systems
Delivers frequent training to clinical teams for high quality documentation standardization
Consulting across teams, providing mentorship, and contributing specialized knowledge
Qualification
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Required
2+ years of experience in a utilization role within the healthcare field required
Microsoft Office and Salesforce proficiency
Strong interpersonal, relationship-building and listening skills, with a natural, consultative style
Ability to energize, communicate, and build rapport at all levels within an organization
Strong project management skills, with a demonstrable ability to corral and manage details in a fast-paced, fluid environment
Experience advising, presenting to, and persuading senior corporate personnel
Knowledge of all confidentially requirements regarding patients and strict maintenance of proper confidentiality on all such information.
Excellent written and verbal communication skills
Organizational skills
Ability to maintain a high level of integrity and confidentiality of medical information
Strict attention to details
Preferred
Master’s Degree in healthcare field preferred
Company
Charlie Health
Virtual behavioral health clinic for high acuity youth
501-1,000 employees
Funding
Current Stage
Late StageTotal Funding
$0.85M2020-06-04Seed· $0.85M
Leadership Team
Justin Weiss
Co-founder
Christine Ko
Chief People Officer
Recent News
2024-05-23
Fierce Healthcare
2024-05-23
Company data provided by crunchbase
