Utilization Review Manager

Charlie Health; United States; On-site; USD 75,000 - 95,000; Full time

Job summary

An innovative firm is seeking a Utilization Review Manager to lead a passionate team in optimizing client care processes. This role is pivotal in addressing the mental health crisis by ensuring timely communication with payors and streamlining the utilization process. The ideal candidate will possess strong leadership and interpersonal skills, with a commitment to enhancing access to essential mental health services. Join a mission-driven organization that values connection and commitment, and play a key role in reshaping the future of mental healthcare.

Qualifications

• 2+ years in Utilization Review or related fields in fast-paced environments.
• 1+ years in a junior leadership role with a track record of exceeding KPIs.

Responsibilities

• Oversee functions of a regional UR team, providing supervision and support.
• Collaborate interdepartmentally to maintain efficient workflows.

Skills

Interpersonal Skills

Project Management

Leadership

Communication

KPI Monitoring

Education

Bachelor's degree in Psychology

Master’s degree in Social Work

Job description

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Why Charlie Health?

We are currently facing a nationwide mental health epidemic marked by rising rates of depression, anxiety, trauma, substance use disorders, and suicide. At the same time, those seeking help often encounter barriers—whether geographic, financial, or systemic—that prevent them from receiving timely and effective care. This urgent need calls for a reimagined approach to behavioral health treatment.

Why Charlie Health?

We are currently facing a nationwide mental health epidemic marked by rising rates of depression, anxiety, trauma, substance use disorders, and suicide. At the same time, those seeking help often encounter barriers—whether geographic, financial, or systemic—that prevent them from receiving timely and effective care. This urgent need calls for a reimagined approach to behavioral health treatment.

At Charlie Health, our mission is to connect the world to life-saving mental health treatment. Our innovative virtual programs combine curated group sessions, individual therapy, and family therapy, delivered through personalized, evidence-based treatment plans designed for sustainable healing from the comfort of home. By connecting individuals with shared experiences and fostering supportive communities, Charlie Health provides a pathway to long-term recovery, with over 90% of our clients seeing improvement in their most challenging mental health symptoms.

Every member of our team shares a deep commitment to this mission. If you’re driven to make a meaningful impact, we invite you to join us in reshaping the future of mental healthcare.

About The Role

The purpose of this position is to ensure that the utilization process is through, organized and streamlined in order to optimize length of stay for our clients. Given the complex nature of insurance, it is crucial to provide organized, timely communication with payors so that families can focus on what is most important, getting their loved ones access to 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 regional UR team (8-10 employees), reporting to the UR Director
• Providers weekly supervision to team and collaborates at a high level to staff complex cases
• Monitors team KPIs and provides real time feedback to teammates who may need additional support
• Collaborates interdepartmentally to maintain efficient workflows and processes
• Partners with director on projects, change management and initiatives for the UR department
  
  

Requirements

• Bachelor's degree or Master’s degree in psychology, social work, nursing
• 2+ years in UR or a related field in a fast-paced high volume environment
• 2+ years experience working with young adults and adolescents preferred. Experience in the mental health field is preferred.
• 1+ years in a junior leadership role (Senior UR or Lead role)
• Demonstrated track record of exceeding KPIs for authorizations
• Strong interpersonal, relationship-building and listening skills, with a natural, consultative approach
• Ability to energize, communicate and build rapport in all levels of the organization
• Strong project management skills with a demonstrable ability to manage details in a fast-paced environment
• Experience advising, presenting to and persuading senior corporate personnel
  
  

Benefits

Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees. Read more about our benefits here.

Additional Information

The total target base compensation for this role will be between $75,000 and $95,000 per year at the commencement of employment. In addition to base compensation, this role offers a target performance-based bonus. The target total cash compensation range, including potential bonus, will be up to 10% of their salary per year (based on individual, team and company performance). Please note, pay will be determined on an individualized basis and will be impacted by location, experience, expertise, internal pay equity, and other relevant business considerations. Further, cash compensation is only part of the total compensation package, which, depending on the position, may include stock options and other Charlie Health-sponsored benefits.

Note to Colorado applicants: Applications will be accepted and reviewed on a rolling basis.

Our Values

• Connection: Care deeply & inspire hope.
• We care personally about every single person in the Charlie Health ecosystem: our clients, providers, and team members alike.
• We inspire hope with every interaction, reminding our clients that we truly and unconditionally believe in them.
• Congruence: Stay curious & heed the evidence.
• We ask “why” five times before we’re satisfied with the answer. We don’t stick to the status quo; we challenge our assumptions and remain humble.
• Above all, we’re results-oriented. When we find data that calls our original plan into question, we modify or pivot.
• Commitment: Act with urgency & don’t give up.
• We work as swiftly as possible. The mental health crisis is relentless, and so are we.
• Our clients don’t give up and neither do we. Persistence is our superpower.
  

Please do not call our public clinical admissions line in regard to this or any other job posting.

Please be cautious of potential recruitment fraud. If you are interested in exploring opportunities at Charlie Health, please go directly to our Careers Page: https://www.charliehealth.com/careers/current-openings. Charlie Health will never ask you to pay a fee or download software as part of the interview process with our company. In addition, Charlie Health will not ask for your personal banking information until you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All communications with Charlie Health Talent and People Operations professionals will only be sent from @charliehealth.com email addresses. Legitimate emails will never originate from gmail.com, yahoo.com, or other commercial email services.

Recruiting agencies, please do not submit unsolicited referrals for this or any open role. We have a roster of agencies with whom we partner, and we will not pay any fee associated with unsolicited referrals.

At Charlie Health, we value being an Equal Opportunity Employer. We strive to cultivate an environment where individuals can be their authentic selves. Being an Equal Opportunity Employer means every member of our team feels as though they are supported and belong. We value diverse perspectives to help us provide essential mental health and substance use disorder treatments to all young people.

Charlie Health applicants are assessed solely on their qualifications for the role, without regard to disability or need for accommodation.

By submitting your application, you agree to receive SMS messages from Charlie Health regarding your application. Message and data rates may apply. Message frequency varies. You can reply STOP to opt out at any time. For help, reply HELP.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Accounting/Auditing and Finance

• Industries

  Mental Health Care

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