Utilization Review Specialist: Authorization & Care Coordination

avenuesrecovery; Toms River (NJ); On-site; USD 52,000 - 72,000; Full time

Benefits offered by this job

401(k) with employer match

Medical, Dental, and Vision Insurance

Disability insurance

Life and AD&D Insurance

EAP (Employee Assistance Program)

Flexible Spending Accounts

Job summary

Avenues Recovery Center is seeking a Utilization Review Specialist in New Jersey to ensure timely authorizations, support level-of-care determinations, and maintain accurate documentation across facilities.

The role requires strong communication and collaboration across clinical, administrative, and billing teams, with a focus on compliance and efficient UR processes. Training is available, and the position is full-time at corporate office in New Jersey.

Qualifications

• High school diploma or GED required.
• Bachelor's degree preferred.
• Nursing or clinical/healthcare knowledge strongly preferred.

Responsibilities

• Manage client authorizations and UR-related requests.
• Support authorization workflows across facilities.
• Collaborate with billing and clinical teams to resolve issues.
• Maintain electronic records of UR activity and communications.
• Assist in improving UR templates and workflows.

Skills

Strong communication

Interpersonal skills

Attention to detail

Documentation accuracy

Multitasking

Team collaboration

Education

High school diploma or GED

Bachelor's degree preferred

Healthcare/clinical knowledge preferred

Job description

Avenues Recovery Center is seeking a Utilization Review Specialist in New Jersey to ensure timely authorizations, support level-of-care determinations, and maintain accurate documentation across facilities.

The role requires strong communication and collaboration across clinical, administrative, and billing teams, with a focus on compliance and efficient UR processes. Training is available, and the position is full-time at corporate office in New Jersey.