UR Specialist

The Utilization Review Specialist at Moriah Behavioral Health is responsible for preauthorization and concurrent review requests for all levels of care. This role requires a clinical understanding of medical necessity, collaboration with clinical and admissions staff, and efficient communication with both internal and external stakeholders. The position involves managing a caseload, handling insurance denials, and responding to inquiries.

Requirements

• Minimum Associate Degree with clinical experience
• Previous clinical documentation experience
• Computer skills (Kipu, Excel, Salesforce, etc.)
• Ability to work in a team environment
• U.S. Citizenship or legal right to work in the United States
• Criminal Clearance and Child Abuse Indexing requirements
• Federal, State, and local Drug Screen requirements
• General Medical Evaluation