OpeningsFirst
How it worksPricingLog inGet started
OpeningsFirst › Jobs in the United States

Utilization Review Specialist (Remote)

FHE Health · fherehab.com
United StatesRemoteMid level2–3 yrsPart-time
Apply on FHE Health’s site

OpeningsFirst finds jobs like this first

  • Straight from company career pages. We check thousands of them every few hours.
  • The day they’re posted, often before LinkedIn or Naukri.
  • Only your kind of job: remote Utilization Review Specialist jobs.

New openings the day they’re posted, at 8 am and 6 pm. Cancel anytime.

Subscribers got this job on 19 October 2026. New jobs reach them at 8 am and 6 pm, 5 days before they open here. Get the next one first

The job in short

Utilization review for behavioral health authorizations.

NursingClinicalInsuranceCompliance

Details

Found
11 d ago · posted 2026-10-19
Location as listed
US
Role
Utilization Review Specialist
Source
The company’s own careers site

Full description

About Us FHE Health ("FHE") is a nationally recognized behavioral healthcare institution that delivers quality, medically integrated personalized treatment for those suffering from Behavioral Health Disorders. We specialize in addictive disorders and other behavioral health diagnoses such as mood disorders, depression, anxiety, and traumatic disorders. We employ a team of highly qualified, compassionate individuals who share in the desire to serve this vulnerable population. We provide innovative treatment by creating an environment that promotes healing and optimized learning. FHE Health is a facility licensed by both the Department of Children and Families (DCF) and the Agency for Healthcare Administration (AHCA). We are accredited by both the JOINT Commission and the Commission of Accreditation of Rehabilitation Facilities (CARF) We are members of the National Association of Addiction Treatment Providers (NAATP), and Deerfield Beach’s Best Alcohol and Drug Rehabilitation Center. We are not conventional; we are at the forefront of a medically integrated, modern, scientific, and technological approach to behavioral health and addiction treatment, delivering progressive services not seen in the behavioral health market. As an eight-time "Top Workplace" award winner, we take pride in offering an innovative and collaborative work culture where compassion meets excellence. Who We're Looking For We are seeking an experienced specialist who is passionate about making a difference in the lives of individuals battling behavioral health and substance use disorder challenges. What You'll Do • Responsible for managing all clinical authorization processes to ensure timely, accurate, and compliant communication with insurance payers. • This role supports patient access to treatment by securing initial and continued-stay authorizations, preventing avoidable denials, and collaborating with clinical teams to ensure documentation reflects medical necessity according to payer guidelines. • The UR Specialist helps maximize reimbursement, maintain compliance, and support quality patient care throughout the behavioral health and addiction treatment continuum. What You Need • Bachelor’s Degree from accredited college or university in Nursing, Social Work, Behavioral Health or related field required preferred. • 2-3 years of utilization review experience in behavioral health, addiction treatment, or managed care. • Strong understanding of ASAM criteria, LOCUS, DSM-5, diagnostic standards, and documentation requirements. • Excellent clinical summarization and documentation review skills. • Strong communication with clinical teams and insurance reviewers. • Ability to problem-solve, escalate appropriately, and manage time-sensitive deadlines. • High attention to detailed accuracy Why Join FHE Health? As a full-time employee you’ll be offered a comprehensive benefits package, including: ✅ Medical, Dental, and Vision Insurance ✅ Supplemental Life & Disability Insurance ✅ 401(k) Retirement Plan ✅ Generous PTO & Vacation Time ✅ Employee Assistance Program ✅ Opportunities for Professional Growth & Development ✅ Free CEU’s ✅ Free CPR Certification ✅ Free Crisis Prevention Certification (CPI) Take the Next Step in Your Career! Be part of a team that’s redefining behavioral healthcare. If you're passionate about helping people heal and thrive, apply today! This is a per diem, as-needed position with no guaranteed hours

All FHE Health jobs

Jobs in India · Jobs in the US · Who’s hiring in India · Who’s hiring in the US · How OpeningsFirst works · Free jobs widget
OpeningsFirst · Use with AI · Terms · Privacy · Refunds · Contact Showing prices for outside India or India