Utilization Review Representative

Job Description

Job Description

Avenues Recovery Center is a nationwide network of drug and alcohol rehab centers with eighteen locations across seven states. We offer highly individualized treatment in a clean, modern, comfortable setting, spanning every level of care, including detox, residential, PHP, IOP, and outpatient services. The secret to our success is our people - merged with a premier clinical program, it's allowed us to transform the lives of thousands of people to date. If you're passionate about recovery and want to impact others in a meaningful way - we warmly invite you to join our growing family!

We are currently seeking to hire Utilization Review Representative to join our corporate NJ Team!

The Utilization Review Specialist collaborates with Avenues Recovery facilities regarding Utilization Review (UR) and ensures that all clients are authorized for treatment at the appropriate level of care in a timely manner. The UR Specialist serves a dual function ensuring quality and comprehensive charting of all services rendered by maintaining collaborative lines of communication with facility leadership.

Responsibilities Include , but are not limited to, the following:

• Fielding incoming calls, emails and other correspondence relating to new clients that require Authorization

• Working closely with the Avenues Recovery billing team to properly coordinate and flag potential issues that may arise
• Assist staff with creating uniformed templates and processes that can be used at all Avenues facilities
• Work with site administrators to ensure that proper templates and processes are being implemented
• Manage a client caseload and Coordinate with treatment team to assess and advocate for continued stay at recommended level of care
• Documenting and maintaining electronic records related to all UR correspondence and authorization by utilizing internal computer software
• Nursing degree/knowledge in healthcare preferred

Competencies (Knowledge, Skills, and Abilities):

• Communication skills a must
• Excellent Interpersonal Skills
• Acute Observational Skills
• Strong Written and Oral Communication Skills
• Physical and Mental Stamina
• Flexible
• Sound Judgement
• Team Player

Required Education

• Graduation from High School or GED/Bachelor's Degree
• Must be able to read, write, speak, and understand the English language

Required Experience

• A minimum of 1-year experience in treatment industry preferred.

Licensure/Certification

• Current and valid state issued Driver License
• Valid CPR certification and First Aid

Avenues features a rich, fulfilling workplace culture where each person is valued and greatness is pursued. We support our employees unconditionally, and work to provide them with every resource they need to excel! Aside from generous PTO and compensation, when you join the Avenues family, you'll be eligible for the following benefits package:

· 401K with employer match

· Medical Insurance

· Dental

· Vision

· Accident

· Critical Illness

· Hospital Indemnity

· Voluntary Short-Term Disability

· Voluntary Long -Term Disability

· Employer-Paid Life and AD&D

· LifeTime Benefit Term Insurance with Long Term Care

· Legal Coverage

· Pet Insurance

· Identity Theft Protection

· Employer-Paid Employee Assistance Program

· Flexible Spending Account (FSA) - Medical

· Dependent Care FSA (DCF)

Join our growing team and discover the magic here at Avenues!

Apply today!