Full-Time
Utilization Review Specialist
Confirmed live in the last 24 hours
Charlie Health
1,001-5,000 employees
Online mental health treatment for youth
Compensation Overview
$60k - $70kAnnually
Junior, Mid
Remote in USA
- 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
- 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 offers 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 for services out-of-pocket or through 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, supported by annual outcomes reports and clinical research. The goal of Charlie Health is to provide accessible and effective mental health treatment to young individuals in need.
Company Stage
Seed
Total Funding
$826.8K
Headquarters
Bozeman, Montana
Founded
2020
6 month growth
↑ 31%1 year growth
↑ 60%2 year growth
↑ 158%
Simplify's Take
What believers are saying
- Charlie Health's services have demonstrated significant efficacy, with over 90% of clients seeing improvements in severe mental health symptoms.
- The company's rapid growth and strategic partnerships, such as with Memorial Hermann and Talkspace, indicate strong market validation and potential for further expansion.
- The appointment of experienced leaders like Christine Ko as Chief People Officer suggests a strong focus on organizational growth and employee well-being.
What critics are saying
- The telehealth market is highly competitive, with numerous players like Talkspace and Mantra Health potentially diluting Charlie Health's market share.
- Dependence on insurance coverage for revenue could pose financial risks if reimbursement policies change or if clients face difficulties in verifying coverage.
What makes Charlie Health unique
- Charlie Health's focus on high-acuity mental health care for young people sets it apart in the telehealth market, which often targets a broader demographic.
- Their virtual Intensive Outpatient Program (IOP) offers rapid initiation within 24 hours, providing a level of accessibility and immediacy that is rare in the mental health sector.
- Partnerships with major health systems like Memorial Hermann and inclusion in Talkspace's Behavioral Health Consortium enhance their credibility and expand their reach.
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