Remote Utilization Manager - Inpatient

Are you a compassionate nurse or social worker looking to make a real difference in behavioral health? AllHealth Network is seeking a dedicated Utilization Review Specialist to help ensure clients receive the care they need while collaborating with a team that values your expertise and commitment.

• Work in a supportive, interdisciplinary environment that values your professional judgment
• Enjoy opportunities for ongoing learning, growth, and advancement
• Make a tangible impact on client outcomes and community well-being
• Be part of a mission-driven organization dedicated to high-quality, client-centered care

• →Advocate for clients by communicating clinical information to secure timely and appropriate care authorizations
• →Lead utilization reviews for clients in our Acute Treatment and Crisis Stabilization Units
• →Collaborate with nurses, social workers, case managers, and other healthcare professionals
• →Ensure quality care by coordinating with payers, treatment teams, and billing staff
• →Maintain accurate records and use your problem-solving skills to navigate challenging cases

• Registered Nurse (BSN/RN) or Master’s in a human services field
• Clinical license (LPC, LCSW) required 
• Minimum 2 years’ experience in behavioral health utilization management, care coordination, or case management
• Strong communication, organization, and advocacy skills
• Experience with insurance processes, electronic records, and multidisciplinary teamwork

AllHealth Network also provides a 10% compensation differential for individuals who are bilingual in English and Spanish (language proficiency testing required). 

The base salary range represents the low and high end of the AllHealth Network hiring range for this position. Actual salaries will vary and may be above or below the range based on various factors including but not limited to experience, education, training, merit, and the ability to embody the AllHealth Network mission and values.  The range listed is just one component of AllHealth Networks’ total compensation package for employees. Other rewards may include short-term and long-term incentives as well as a generous benefits package detailed below.