Utilization Review Manager

Santa Barbara Cottage Hospital; United States; Remote; USD 75,000 - 95,000; Full time

Job summary

An established industry player is seeking a passionate professional to join their mission of reshaping mental healthcare. This role focuses on optimizing the utilization process, ensuring families receive timely access to care. You will lead a team, collaborate interdepartmentally, and utilize your strong project management skills to drive impactful solutions. If you are eager to make a meaningful difference in the lives of individuals facing mental health challenges, this opportunity offers a chance to significantly contribute to a vital cause while working in a supportive and innovative environment.

Qualifications

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

Responsibilities

• Oversees functions of a regional UR team, ensuring efficient workflows.
• Monitors team KPIs and provides real-time feedback for support.

Skills

Interpersonal Skills

Project Management

Communication Skills

Leadership

Relationship Building

Education

Bachelor's degree in Psychology

Master’s degree in Social Work

Degree in Nursing

Job description

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 thorough, 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
• Provides 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 at 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.

#LI-REMOTE

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.