Utilization Review Specialist Job at Avenues Recovery, Toms River, NJ

YW9GSi9xLzM1Q3hHd0hCTVp6RmN4ZzB3cHc9PQ==
  • Avenues Recovery
  • Toms River, NJ

Job Description

Job Description

Job Description

Avenues Recovery Center is a nationwide network of drug and alcohol rehab centers with seventeen locations across five states. We offer highly individualized treatment in a clean, modern, comfortable setting, spanning every level of care, including detox, residential, PHP, IOP, and outpatient services. The secret to our success is our people - merged with a premier clinical program, it's allowed us to transform the lives of thousands of people to date. If you're passionate about recovery and want to impact others in a meaningful way - we warmly invite you to join our growing family!

We are currently seeking to hire Utilization Review Specialists to join our corporate NJ Team!

The Utilization Review Specialist collaborates with Avenues Recovery facilities regarding Utilization Review (UR) and ensures that all clients are authorized for treatment at the appropriate level of care in a timely manner. The UR Specialist serves a dual function ensuring quality and comprehensive charting of all services rendered by maintaining collaborative lines of communication with facility leadership.

Responsibilities Include , but are not limited to, the following:

  • Fielding incoming calls, emails and other correspondence relating to new clients that require Authorization
  • Working closely with the Avenues Recovery billing team to properly coordinate and flag potential issues that may arise
  • Assist staff with creating uniformed templates and processes that can be used at all Avenues facilities
  • Work with site administrators to ensure that proper templates and processes are being implemented
  • Manage a client caseload and Coordinate with treatment team to assess and advocate for continued stay at recommended level of care
  • Documenting and maintaining electronic records related to all UR correspondence and authorization by utilizing internal computer software
  • Nursing degree/knowledge in healthcare preferred

Competencies (Knowledge, Skills, and Abilities):

  • Communication skills a must
  • Excellent Interpersonal Skills
  • Acute Observational Skills
  • Strong Written and Oral Communication Skills
  • Physical and Mental Stamina
  • Flexible
  • Sound Judgement
  • Team Player

Required Education

  • Graduation from High School or GED/Bachelor's Degree
  • Must be able to read, write, speak, and understand the English language

Required Experience

  • A minimum of 1-year experience in treatment industry preferred.

Licensure/Certification

  • Current and valid state issued Driver License
  • Valid CPR certification and First Aid

Avenues features a rich, fulfilling workplace culture where each person is valued and greatness is pursued. We support our employees unconditionally, and work to provide them with every resource they need to excel! Aside from generous PTO and compensation, when you join the Avenues family, you'll be eligible for the following benefits package:

· 401K with 100% employer match

· Medical Insurance

· Dental

· Vision

· Accident

· Critical Illness

· Hospital Indemnity

· Voluntary Short-Term Disability

· Voluntary Long -Term Disability

· Employer-Paid Life and AD&D

· LifeTime Benefit Term Insurance with Long Term Care

· Legal Coverage

· Pet Insurance

· Identity Theft Protection

· Employer-Paid Employee Assistance Program

· Flexible Spending Account (FSA) - Medical

· Dependent Care FSA (DCF)

Join our growing team and discover the magic here at Avenues!

Apply today!

Job Posted by ApplicantPro

Job Tags

Temporary work, Currently hiring, Flexible hours,

Similar Jobs

Hispanic Association of Colleges and Universities

Director of Professional Leadership Programs Job at Hispanic Association of Colleges and Universities

 ...supervision and guidance of the Senior Executive Director of Professional Leadership and Student Programs, establishes, implements, manages professional leadership and development...  ...ability to multi-task and prioritize projects in a fast-paced environment; ability to work... 

SEIU Local 1991

Union Representative / Organizer Job at SEIU Local 1991

 ...SEIU Local 1991 Union Representative / Organizer Based in Miami, FL SEIU Local 1991 is an active, growing, progressive healthcare union based in South Florida. The local currently represents Registered Nurses, physicians, and other professionals at Jackson... 

O'Keefe Media Group

Journalism Program Assistant Job at O'Keefe Media Group

 ...hungry, passionate, hardworking, loyal, and has a heart for true journalism.~ This position is demanding and requires a minimum of 50%...  ...Florida or willing to relocate by June 2024. Candidates will work remote with 50% travel to Northvale, NJ office or elsewhere in the... 

Clinch Valley Medical Center

Quality/Risk Manager (RN), Medical Group Services Job at Clinch Valley Medical Center

Description: Clinch Valley Health Who We Are: People are our...  ...quality related issues and information. Ensures, that the offices are...  .... Is a liaison to the Risk Manager/Coordinator, facilities legal...  ...when necessary, to ensure high level of job performance ... 

REA, Inc.

Business Valuation Manager Job at REA, Inc.

Rea is a growing Top 100 business advisory & accounting firm providing our clients services in tax, accounting, and business consulting...  ...plan.We are looking for a highly motivated Business Valuation Manager who is a strong communicator that will work, and travel...