Utilization Specialist — Care Coordination & Appeals

Harboroaks; Scotts Valley (CA); On-site; USD 34,440 - 37,195; Full time

Benefits offered by this job

Medical, dental, and vision insurance

Acadia Healthcare 401(k) plan

Excellent training program

Professional growth opportunity

Job summary

Harboroaks is hiring a full-time Utilization Specialist for The Camp Recovery Center in Scotts Valley, CA. This role involves acting as a liaison between managed care organizations and clinical staff, ensuring safety for clients undergoing treatment.

A high school diploma is required, while a degree in a related field is preferred. The position offers a competitive hourly rate between $25.00 - $27.00 and comes with benefits including medical insurance and a 401(k) plan.

Qualifications

• Required Education: High school diploma or equivalent.
• Preferred Education: Higher degree in a health-related field.
• Clinical experience is required, or experience with the facility's population.

Responsibilities

• Act as liaison between managed care organizations and clinical staff.
• Monitor patient length of stay and ensure necessary updates.
• Conduct quality reviews for medical necessity.

Skills

Clinical experience

Experience with facility's population

Medi-Cal experience

Utilization management experience

Education

High school diploma or equivalent

Associate's, Bachelor's, or Master’s degree in Social Work, Behavioral or Mental Health, Nursing, or a related field

Tools

CPR certification

De-escalation and restraint certification

Job description

Harboroaks is hiring a full-time Utilization Specialist for The Camp Recovery Center in Scotts Valley, CA. This role involves acting as a liaison between managed care organizations and clinical staff, ensuring safety for clients undergoing treatment.

A high school diploma is required, while a degree in a related field is preferred. The position offers a competitive hourly rate between $25.00 - $27.00 and comes with benefits including medical insurance and a 401(k) plan.