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.
Support people to rebuild confidence, independence and hope.
Every day, people recovering from injury or illness need support and guidance to take important steps forward. As a Rehabilitation Consultant, you’ll walk alongside clients as they navigate recovery, return to work, and help them to reconnect with what matters most.
What you’ll enjoy...
Expect your day to be full of variety and real impact where you’ll:
Build relationships and collaborate with multiple stakeholders: clients, their treating practitioners, employers, insurers — helping bring everyone together around a shared goal of recovery and reintegration
Why you’ll love working at Konekt
What you’ll bring
Why Konekt, part of APM Group
Konekt is one of the largest rehabilitation and workplace health providers in Australia. Each year, we help over 40,000 Australians back into work, recover from injury, and re-engage with their social and community life.
We’re proudly part of the global APM network committed to enabling better lives. Every day, we support people to overcome injury, illness or disability, helping them regain independence, health, work and community participation. When you join us, you’re joining a purpose-driven organisation that values care, growth and positive impact.
We want to hear from you, even if you don’t check every box
Konekt embraces DIVERSITY and places a high priority on the principles of respect, equity, and diversity. We welcome applications from candidates of diverse backgrounds, Aboriginal and Torres Strait Islanders, people from culturally diverse backgrounds and people with disabilities.
Enabling better lives starts with you. Apply now.
For a confidential discussion, please call Hediyeh Mossavat on 0409 412 975
Manage behavioral health insurance authorizations for PHP and IOP treatment, coordinating reviews, appeals, and payer requirements to support medical necessity and continuity of care.
Conduct brief clinical intake consultations with adolescents and caregivers, assess safety and treatment needs, guide families toward appropriate PHP or IOP care, and coordinate next steps with clinical teams.
Triage pediatric patients through virtual messages and calls, provide caregivers with clinical assessments and guidance, coordinate with on-call primary care providers, and maintain vaccine and referral records.
Complete, code, review, and audit Minimum Data Set assessments in line with CMS and RAI Manual guidelines, maintaining accurate submissions that support reimbursement and quality reporting.
Schedule and coordinate telehealth appointments, guide patients through virtual visit preparation, maintain accurate records, and support a smooth, compassionate experience between patients and healthcare providers.