Utilization Review Specialist
KVC Health Systems
Job Description
Job Description
UR Specialist – Join Camber and Make an Impact
At Camber Mental Health, 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 SummaryThe 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.
ScheduleMonday–Friday | 8:00 AM – 5:00 PM
Hybrid Work OpportunityCandidates 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 DoCoordinate 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
Collaborate with internal teams, referral sources and community partners
Bachelor’s degree in a human services field preferred, including:
Social Work
Education
Sociology
Psychology
Counseling
Applied Behavioral Sciences
Criminal Justice
High school diploma or GED required
Valid driver’s license
Current auto insurance
Minimum two years of experience in:
Case management
Utilization review
Wellness coordination
At least one year working with economically disadvantaged, vulnerable or at-risk youth and/or adults
Intermediate Microsoft Office Suite skills including Word, Excel and Outlook
Strong verbal and written communication skills
Excellent organizational and interpersonal abilities
Ability to manage detailed work in a fast-paced environment
Mission-driven work supporting children and families
Collaborative and inclusive workplace culture
Professional development and ongoing training opportunities
Hybrid work flexibility after successful onboarding period
Monday–Friday schedule with consistent daytime hours
Opportunity to work alongside multidisciplinary healthcare teams
Meaningful career growth in behavioral health services
At Camber, employees are expected to lead with authenticity, compassion and collaboration while supporting positive outcomes for children, youth and families.
Apply today and become part of a team dedicated to changing lives.
$60.2k - $92.3k
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