Behavioral Health Utilization & Authorization Specialist

Universal Health Services; Kouts (IN); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Loan Forgiveness Program

Competitive Compensation

401(K) with company match

SoFi Student Loan Refinancing

Career development opportunities

Job summary

Midwest Center for Youth and Families, a subsidiary of UHS, seeks Behavioral Health Workers to support a DBT-focused program for youths aged 10-18. The role involves coordinating treatment authorizations, interfacing with payers, and ensuring continuity of care within a 40-hour work week at the facilities in Valparaiso and Kouts, IN.

Join a dedicated clinical team providing compassionate, high-quality behavioral health services, with opportunities for professional development and

Qualifications

• Master's degree in social work, IPMFT, mental health counseling, psychology, or bachelor’s in nursing from an accredited school required.
• 3–5 years in utilization review or 5–8 years as a Therapist required.
• Knowledge of behavioral health level-of-care criteria and DSM-5-TR/ICD-10-CM.
• Knowledge of payer requirements/authorization, BH operations, and clinical services meeting medical necessity.
• HIPAA, confidentiality requirements, and behavioral health regulations.

Responsibilities

• Review patient records for medical necessity and payer authorizations.
• Translate clinical documentation into justification for level of care and manage appeals.
• Monitor lengths of stay and authorization timelines; identify documentation gaps.

Skills

Utilization review

Payer requirements

Confidentiality/HIPAA

DSM-5-TR/ ICD-10-CM knowledge

Education

Master's degree in social work

Bachelor's degree in nursing

Job description

Midwest Center for Youth and Families, a subsidiary of UHS, seeks Behavioral Health Workers to support a DBT-focused program for youths aged 10-18. The role involves coordinating treatment authorizations, interfacing with payers, and ensuring continuity of care within a 40-hour work week at the facilities in Valparaiso and Kouts, IN.

Join a dedicated clinical team providing compassionate, high-quality behavioral health services, with opportunities for professional development and