Utilization Review Liaison: Compliance & Clinical Support

Avenues Recovery Center; Clarksville (IN); On-site; USD 52,000 - 65,000; Full time

Benefits offered by this job

Competitive pay

PTO

401(k) match

Medical/Dental/Vision

Job summary

Avenues Recovery Center is seeking a detail-oriented Utilization Review Liaison to support clinical operations, documentation compliance, and utilization review processes. This role acts as a bridge between treatment teams, facility leadership, and the Utilization Review department to promote high-quality care and regulatory compliance.

The ideal candidate is organized, thrives in a fast-paced environment, and is committed to supporting recovery journeys while maintaining clinical excellence.

Qualifications

• High School Diploma or GED required.
• Minimum one year of experience in behavioral health, addiction treatment, healthcare, or related field preferred.
• Knowledge of medical terminology, clinical documentation, and utilization review processes preferred.
• Strong organizational, communication, and follow-up skills.
• Excellent interpersonal, observational, and collaborative abilities.
• If in recovery, a minimum of one year of sustained sobriety is required.

Responsibilities

• Conduct regular chart audits to ensure documentation accuracy, completeness, and compliance with company, payer, and regulatory standards.
• Monitor clinical and operational processes to identify opportunities for improvement.
• Track missing documentation and ensure timely completion of all required chart elements.
• Support quality assurance initiatives and maintain adherence to accreditation and compliance requirements.
• Serve as a liaison between clinical staff, facility leadership, and the Utilization Review department.
• Assist with insurance authorizations, concurrent reviews, peer reviews, and appeals.
• Support level-of-care determinations and documentation of medical necessity.
• Coordinate communication regarding admissions, continued stay reviews, level-of-care changes, and discharge planning.
• Participate in treatment team meetings and collaborate with clinical leadership.
• Engage with clients throughout treatment to support retention and individualized care.
• Assist with intake assessments, group facilitation, and other clinical support duties as needed.
• Help identify training and process improvement opportunities to enhance quality of care.

Skills

Strong organizational skills

Effective communication

Follow-up skills

Interpersonal skills

Observational abilities

Collaborative abilities

Recovery experience

Knowledge of documentation and review

Education

High School Diploma or GED

Job description

Avenues Recovery Center is seeking a detail-oriented Utilization Review Liaison to support clinical operations, documentation compliance, and utilization review processes. This role acts as a bridge between treatment teams, facility leadership, and the Utilization Review department to promote high-quality care and regulatory compliance.

The ideal candidate is organized, thrives in a fast-paced environment, and is committed to supporting recovery journeys while maintaining clinical excellence.