Utilization Review Therapist - Impactful Mental Health Role

Odyssey House of Utah; Millcreek (UT); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Tuition assistance

24/7 EAP

Paid continuing education

Monthly incentives

Health insurance

403(b) retirement plan with 100% match

35 paid days off

Sabbatical program

On-Demand Pay

UTA free passes

Job summary

Odyssey House of Utah is seeking a Full-Time Utilization Review Specialist to manage UR submissions, ensure medical necessity, and minimize funding denials. The role includes staff training, reporting, and coordination with the billing team to resolve issues.

The ideal candidate is a licensed mental health professional with a graduate degree, willing to pass a background check and meet immunization requirements. Shifts are variable depending on program needs.

Qualifications

• Licensed Mental Health Professional, including - CSW, LCSW, CMHC, ACHMC, LMFT, MFTI.
• Graduate degree in the mental health field.
• Willingness and ability to pass a criminal background check.
• First Aid and CPR Certification (available at Odyssey House).
• Must comply with annual TB tests and Flu immunization (and other immunizations as needed).
• Must meet employment eligibility.
• Must be able to work variable shifts as needed.

Responsibilities

• Track UCE/UR/Insurance Due Dates for all funding and ensure timely submission of all requests.
• Review all UR submissions for medical necessity, make corrections to UR, and submit for approval.
• Provide ongoing training to staff regarding writing to medical necessity or other issues that present during reviewing UMs.
• Resolve funding denials through immediate UR modification and resubmission to minimize loss of days.
• Update Best Notes and UWITS, as needed, to reflect authorized days.
• Generate Reports with due dates, notify staff of changes, and manage staff progress.
• Complete monthly Medicaid check (upload snapshots to Best Notes).
• Complete “doc-to-doc” calls, as needed, for insurance authorization.
• Communicate with OH billing department to resolve issues.
• Complete all responsibilities in a timely, thorough, and professional manner.
• Demonstrate fluency in ASAM and DSM-V through successful authorization and processing of UMs.
• Other Duties as assigned.

Education

Graduate degree in the mental health field

Job description

Odyssey House of Utah is seeking a Full-Time Utilization Review Specialist to manage UR submissions, ensure medical necessity, and minimize funding denials. The role includes staff training, reporting, and coordination with the billing team to resolve issues.

The ideal candidate is a licensed mental health professional with a graduate degree, willing to pass a background check and meet immunization requirements. Shifts are variable depending on program needs.