Full-Time

Utilization Review Specialist

Confirmed live in the last 24 hours

Charlie Health

Charlie Health

1,001-5,000 employees

Online mental health treatment for youth

Healthcare

Compensation Overview

$53k - $70kAnnually

+ Performance-based bonus

Junior, Mid

Remote in USA

The job is remote but intended for candidates based in the United States.

Category
Operations Consulting
Consulting
Required Skills
Salesforce

You match the following Charlie Health's candidate preferences

Employers are more likely to interview you if you match these preferences:

Degree
Experience
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 online mental health treatment services specifically designed for young people. Their main product is a virtual Intensive Outpatient Program (IOP) that combines personalized care with peer support to promote long-term healing. Clients can start the program quickly, often within 24 hours, and have flexible scheduling options available throughout the week. The company operates on a business model where clients can pay out-of-pocket or use insurance, with an easy verification process for coverage. Charlie Health distinguishes itself from competitors by focusing on the youth demographic and demonstrating effectiveness, as over 90% of clients report improvements in their mental health symptoms. The goal of Charlie Health is to make mental health treatment accessible and effective for young individuals in need.

Company Size

1,001-5,000

Company Stage

Seed

Total Funding

$826.8K

Headquarters

Bozeman, Montana

Founded

2020

Simplify Jobs

Simplify's Take

What believers are saying

  • Growing demand for youth mental health services boosts Charlie Health's market potential.
  • Partnerships with educational institutions expand access to student mental health support.
  • Advancements in AI enhance personalized treatment plans, improving service effectiveness.

What critics are saying

  • Increased competition from established telehealth providers like Talkspace.
  • Rapid scaling may challenge service quality and outcomes.
  • Dependence on healthcare partnerships poses risks if operational challenges arise.

What makes Charlie Health unique

  • Charlie Health offers a virtual Intensive Outpatient Program for personalized mental health care.
  • The company provides rapid service initiation within 24 hours, enhancing accessibility.
  • Charlie Health's peer connection model fosters long-term healing among young clients.

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Benefits

Health Insurance

Mental Health Support

Flexible Work Hours

Professional Development Budget

Performance Bonus

Growth & Insights and Company News

Headcount

6 month growth

-1%

1 year growth

-4%

2 year growth

-3%
MedCity News
Sep 13th, 2024
Charlie Health Partners with Cartwheel to Address the Student Mental Health Crisis

Charlie Health, a high-acuity mental health provider, has teamed up with Cartwheel, a mental health partner for schools, the companies announced Tuesday.

Business Wire
Apr 29th, 2024
Talkspace Launches Behavioral Health Consortium Of Specialized Care And Treatment Programs, Expanding In-Network Offerings For Members

NEW YORK--(BUSINESS WIRE)--Today, Talkspace, a leading online behavioral health company, announced the launch of its Behavioral Health Consortium, a curated network of specialty providers featuring Charlie Health, Ria Health, Bicycle Health, and more. This consortium enables Talkspace clinicians to refer insured members to like-minded, in-network, clinically-vetted specialty care providers who provide a higher level of care for higher acuity needs such as treatment for alcoholism, substance use, and eating disorders. As one of the largest in-network digital mental healthcare providers, covering more than 130 million lives, Talkspace is helping patients stay in-network and enhancing access to comprehensive, whole person care. With almost one-third (28.2%) of all adults with mental illness reporting that they were not able to receive the treatment they needed, and nearly 42% of adults reporting they were unable to receive necessary care because they could not afford it, Talkspace’s Behavioral Health Consortium aims to bridge the gap in care. Patients in need of higher levels of care or more structured treatment programs can benefit from Talkspace's clinical team meticulously vetting these providers and can leverage their insurance to access these specialized services, while remaining in-network and removing financial barriers to accessing essential treatment and quality care. “We know it is important for our payer partners to keep their members in-network, as they strive to provide them affordable access to the support they need to thrive,” said Erin Boyd, Chief Growth Officer at Talkspace

PR Newswire
Mar 5th, 2024
Charlie Health And Memorial Hermann Health System Collaborate To Expand Critical Mental Health Access

BOZEMAN, Mont. and HOUSTON, March 5, 2024 /PRNewswire/ -- Charlie Health, the leading provider of virtual high-acuity mental health care for young people, and Memorial Hermann Health System are collaborating to improve access to outpatient mental health treatment programs for Houstonians most at risk for crisis. The partnership aims to fill mental health care gaps in the community by leveraging comprehensive virtual treatment solutions.In Texas, the state that ranks last in terms of mental health treatment access , nearly three-quarters of young people with depression are not getting the help they need. Dr. Victoria Regan, Vice President, Women's and Children's Service Line at Memorial Hermann, explained, "One significant challenge our high-acuity patients experience is waitlists for outpatient treatment programs due to increased demand and limited resources." She added, "Addressing the mental health crisis requires proactive efforts to eliminate barriers to care for those who require an additional level of mental health support, which is exactly what Memorial Hermann is doing with Charlie Health."As part of their commitment to supporting the health and well-being of young people in the Houston community, Memorial Hermann is working with Charlie Health to extend the mental health care their providers can offer to high-acuity patients who may benefit from outpatient treatment programs. Patients who choose to enroll in one of Charlie Health's virtual programs will receive a tailored outpatient treatment plan that incorporates a variety of mental health services

Fierce Healthcare
Mar 5th, 2024
Memorial Hermann taps Charlie Health to fill gaps in critical mental health services

Houston-based Memorial Hermann Health System is partnering with Charlie Health to expand access to outpatient mental health treatment for teens and young adults.

PR Newswire
Feb 6th, 2024
Charlie Health Names Christine Ko As Chief People Officer

BOZEMAN, Mont., Feb. 6, 2024 /PRNewswire/ -- Charlie Health, the leading provider of virtual high-acuity mental healthcare for young people, today announced the appointment of Christine Ko as Chief People Officer. Stepping into this position, Ko will oversee Charlie Health's people operations and talent functions, supporting more than 1,000 employees.Ko brings exceptional experience leading successful people and talent organizations at scale. She most recently led the people function at CLEAR. In this role, she spearheaded initiatives that aligned strategic business goals with innovative human capital management strategies for CLEAR's rapidly expanding and geographically dispersed workforce. Before her tenure at CLEAR, Ko held various HR leadership roles in the financial sector, including positions at JPMorgan and BlackRock."In addition to her incredible track record and resume, Christine embodies the full spectrum of qualities we hoped to find in our search