Job Closed
This listing is no longer active.
Personalized mental health treatment for teens, young adults & families in crisis.
Utilization Review Specialist
Location
United States
Posted
108 days ago
Salary
0
No structured requirement data.
Job Description
Utilization Review Specialist
Charlie Health
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The purpose of this position is to ensure that the utilization process is thorough, organized and streamlined to provide the best possible length of stays for our patients. Given the complex nature of insurance these days, it is crucial to have timely communication with these payors so that families can focus on what’s important, getting their loved ones the care they need. We’re a team of passionate, forward-thinking professionals eager to take on the challenge of the mental health crisis and play a formative role in providing life-saving solutions. If you’re inspired by our mission and energized by the opportunity to increase access to mental healthcare and impact millions of lives in a profound way, apply today. Responsibilities - Oversees all functions of a virtual IOP caseload - Collaborates at a high level to problem solve on complex cases with Manager - Completes pre-certs and authorizations for virtual IOP clients in a timely manner - Follows up on all outstanding authorizations and reports all barriers to Manager - Collaborates with Revenue Cycle 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 training to clinical teams for high quality documentation standardization - Participate in denial management, appeals, and peer-to-peer review processes Qualifications - High School Diploma - 2+ years of experience in a utilization role within the utilization review field required - Google 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 utilization review processes, medical necessity criteria, and healthcare regulations - Familiarity with InterQual, MCG, or similar clinical guidelines - Strong analytical, communication, and documentation skills - Proficiency with electronic medical records (EMR) and utilization management systems - Understanding of HIPAA and patient confidentiality requirements Benefits - Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees.
Job Requirements
- High School Diploma
- 2+ years of experience in a utilization role within the utilization review field required
- Google 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 utilization review processes, medical necessity criteria, and healthcare regulations
- Familiarity with InterQual, MCG, or similar clinical guidelines
- Strong analytical, communication, and documentation skills
- Proficiency with electronic medical records (EMR) and utilization management systems
- Understanding of HIPAA and patient confidentiality requirements
Benefits
- Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees.
Related Guides
Related Categories
Related Job Pages
More Medical writer Jobs
Associate, Proposal Writer
New York LifeAt New York Life, our 180-year legacy of purpose and integrity fuels our future. As we evolve into a more technology-, data-, and AI-enabled organization, we remain grounded in the values that drive lasting impact. Our diverse business portfolio creates opportunities to make a difference across industries and communities—inviting bold thinking, collaborative problem-solving, and purpose-driven innovation. As a Fortune 100 mutual company, we offer a place to grow your skills, contribute to meaningful work, and deliver solutions that matter. Our Benefits We provide a full package of benefits for employees – and have unique offerings for a modern workforce, including leave programs, adoption assistance, and student loan repayment programs. Our Commitment to Inclusion At New York Life, fostering an inclusive workplace is fundamental to who we are and how we serve our communities. We have a longstanding commitment to creating an environment where individuals can contribute their best and succeed together.
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Proposal Writer supports the development and delivery of client proposal responses by preparing content, assisting with project tracking, and coordinating inputs from internal stakeholders. This role helps ensure the quality and timely submission of proposals by following established templates and procedures. - Assist in preparing responses to Requests for Proposals (RFPs), Requests for Information (RFIs), and other client questionnaires. - Populate proposal templates with approved and standardized content. - Proofread and format content to ensure consistency, grammar, and brand alignment. - Ensure proposal documents meet submission requirements and deadlines. - Track proposal timelines, deliverables, and review cycles using established project management tools. - Coordinate with sales, product, legal, and compliance teams to gather required input for responses. - Support proposal kick-off and review meetings by distributing materials and capturing action items. - Help maintain the proposal content library (e.g., Qvidian) by tagging, organizing, and updating pre-approved responses. - Follow version control and naming conventions for content files. - Suggest basic improvements to templates, content formatting, or team workflows when identified. - Assist in documenting team processes and checklists. Qualifications - 1–2 years of experience in a business writing, marketing, or administrative support role. - Proficiency in Microsoft Word, Excel, and PowerPoint. - Basic familiarity with proposal tools or project tracking systems (training available). - Strong attention to detail, organizational skills, and written communication abilities. Requirements - Bachelor’s degree or equivalent combination of education and experience (preferred). - Exposure to insurance, financial services, or healthcare industries (preferred). - Familiarity with Qvidian, Smartsheet, or similar tools (preferred). - Coursework or training in marketing communications or proposal development (preferred). Benefits - Salary Range: $65,000-$75,000 - Overtime eligible: Exempt - Discretionary bonus eligible: Yes - Sales bonus eligible: No - Employees are eligible for an annual discretionary bonus. - Employees may also be eligible to participate in an incentive program. Company Description At New York Life, our 180-year legacy of purpose and integrity fuels our future. As we evolve into a more technology-, data-, and AI-enabled organization, we remain grounded in the values that drive lasting impact. - Our diverse business portfolio creates opportunities to make a difference across industries and communities. - We invite bold thinking, collaborative problem-solving, and purpose-driven innovation. - As a Fortune 100 mutual company, we offer a place to grow your skills and contribute to meaningful work.
• Supports initiatives to improve healthcare provider documentation integrity • Ensures accurate medical coding within the Ohio State University Health System • Completes second level review for quality measures, clinical validation, and outcomes improvement • Provides internal education to CDI Analysts, healthcare providers, and interdisciplinary work groups • Assists with audits to ensure compliance and coding accuracy
TV Writer
CBRCBR is part of the Valnet Publishing Group. Valnet, founded in 2012, is a global digital publishing and media investment company that owns and operates over 25 authoritative brands across diverse verticals, including entertainment, sports, technology, automotive, gaming, lifestyle, and travel. Valnet is committed to producing premium content, and we therefore require all our contributors to adhere to our Editorial Standards, including a prohibition on using Artificial Intelligence.
This is a paid freelance, remote position. As a worldwide leader, CBR operates at a rapid pace and is always looking for experienced and passionate contributors who can create original high-quality content in a timely manner. Write original features and lists that focus on TV (and streaming). Pitch article topics to our Editorial team. Be a dedicated and consistent contributor to the site. Follow CBR’s general Editorial Guidelines while producing unique and high-quality content. Produce articles in a timely manner to ensure that the latest industry news and most interesting content are always available to CBR’s loyal readers. Work under tight deadlines and submit tasks on time.
Movies Writer
CBRCBR is part of the Valnet Publishing Group. Valnet, founded in 2012, is a global digital publishing and media investment company that owns and operates over 25 authoritative brands across diverse verticals, including entertainment, sports, technology, automotive, gaming, lifestyle, and travel. Valnet is committed to producing premium content, and we therefore require all our contributors to adhere to our Editorial Standards, including a prohibition on using Artificial Intelligence.
This is a paid freelance, remote position. As a worldwide leader, CBR operates at a rapid pace and is always looking for experienced and passionate contributors who can create original high-quality content in a timely manner. Write original features and lists that focus on movies (and streaming). Pitch article topics to our Editorial team. Be a dedicated and consistent contributor to the site. Follow CBR’s general Editorial Guidelines while producing unique and high-quality content. Produce articles in a timely manner to ensure that the latest industry news and most interesting content are always available to CBR’s loyal readers. Work under tight deadlines and submit tasks on time.

