Full-Time

Utilization Review Specialist

Posted on 3/20/2024

Charlie Health

Charlie Health

1,001-5,000 employees

Virtual mental health treatment for youth


Junior, Mid, Senior, Expert

Remote in USA

Required Skills
Communications
Requirements
  • Master's Degree in healthcare field preferred
  • 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
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

Charlie Health provides a virtual Intensive Outpatient Program (IOP) for adolescents and young adults, leveraging virtual technology to offer evidence-based, personalized treatment plans for various high-acuity mental health conditions. The program integrates supported groups, individual therapy, and family therapy to deliver comprehensive care through virtual IOP sessions.

Company Stage

Seed

Total Funding

$1.4M

Headquarters

Bozeman, Montana

Founded

2020

Growth & Insights
Headcount

6 month growth

24%

1 year growth

61%

2 year growth

202%
INACTIVE