Utilization Review Specialist | Remote | Full-TimeBanyan Treatment Centers is seeking an experienced and detail-driven Utilization Review Specialist to join our corporate team. In this remote role, you'll manage a caseload of 50–75 patients, conducting admission and continuing-stay reviews, coordinating authorizations, and serving as a key liaison between Banyan's clinical operations and the managed care organizations that fund patient treatment. Your work directly protects patient access to care and keeps the business running.This is a high-volume, relationship-driven role for someone who thrives on precision, knows how to navigate managed care, and understands the stakes on both sides of the authorization process.About Banyan Treatment CentersBanyan Treatment Centers is a leading national provider of intensive treatment for individuals facing substance use and mental health disorders.
Backed by TPG, one of the nation's largest private equity investors, Banyan is rapidly expanding access to high-quality, compassionate care.Why Join Our Team?Mission-driven work with real business impact — your authorizations directly determine whether patients stay in treatment. Few roles sit closer to the intersection of clinical care and organizational sustainability.Nationally recognized organization — Joint Commission–accredited, with 18 locations and telehealth services nationwide, and the infrastructure to support your work at scale.Remote flexibility — work from anywhere while collaborating with clinical, billing, and operations teams across the country.Collaborative environment — partner closely with clinical, operational, and billing teams to resolve outstanding case issues, support discharge planning, and ensure timely reimbursement.Room to grow — join a rapidly expanding organization where UR professionals have visibility across the enterprise and opportunities to advance.Comprehensive benefits including medical, dental, and vision insurance; whole and term life insurance; short- and long-term disability; 401(k) with employer match; paid time off and holidays; wellness incentives; and employee assistance and referral programs.Key ResponsibilitiesManage a caseload of 50–75 patients, authorizing 15–25 cases daily and ensuring timely utilization reviews and appropriate level of care determinationsConduct admission and continuing-stay reviews to assess medical necessity and ensure compliance with treatment standardsVerify insurance benefits, coordinate authorizations, and communicate effectively with external case managers and managed care organizationsEstablish and maintain contracts with managed care companies and request rate increases when appropriateCollaborate with clinical and billing departments to support discharge planning, documentation, and timely reimbursementIdentify and address over- and underutilization trendsAssist in resolving outstanding case issues with insurersQualificationsRequired:High school diploma or equivalentMinimum one year of utilization review experience in a psychiatric or chemical dependency settingStrong organizational, documentation, and communication skillsAbility to manage high caseloads with accuracy and efficiencyComfortable working independently in a remote environmentPreferred:Graduate degree in a health or behavioral health related fieldClinical licensure (LCSW, LMHC, LPC, RN, or equivalent) — valued but not requiredExperience working with managed care organizations, insurance authorization, and level of care criteriaFamiliarity with Joint Commission standards and behavioral health regulatory requirementsApply NowIf you're experienced in utilization review, thrive in a fast-paced and high-volume environment, and want your work to matter beyond the spreadsheet, we'd like to meet you. Apply today to join the Banyan Treatment Centers corporate team.Banyan Treatment Centers is an equal opportunity employer.Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws.
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