Utilization Review Specialist – Behavioral Health (Remote)
Manage behavioral health insurance authorizations for PHP and IOP treatment, coordinating reviews, appeals, and payer requirements to support medical necessity and continuity of care.
Remote | Part-Time
Active Florida LMHC, LCSW, or LMFT | Fluent English & Spanish Required
About the Role
Be the first clinical connection for teens and families seeking care at Adolescent Wellness Academy. You’ll lead Connection Calls: brief intake consultations with adolescents ages 13–17 and their caregivers to understand their concerns, assess safety and treatment needs, and determine whether our PHP or IOP program is an appropriate fit.
These conversations combine clinical screening with compassionate guidance. You’ll help teens feel comfortable engaging in treatment, answer caregivers’ questions, and identify concerns requiring escalation or a different level of care. After each call, you’ll document your findings and coordinate next steps with Admissions and clinical teams.
Availability & Compensation
What You’ll Do
Required Qualifications
Registered intern or provisional status does not meet the licensure requirement.
Help teens feel heard and families feel supported from their first conversation.
Learn More: Adolescent Wellness Academy
Manage behavioral health insurance authorizations for PHP and IOP treatment, coordinating reviews, appeals, and payer requirements to support medical necessity and continuity of care.
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