Mental Health Utilization Management Specialist

6 days ago

Nashville, Tennessee, United States Charlie Health Full time

We are currently facing a nationwide mental health epidemic marked by rising rates of depression, anxiety, trauma, substance use disorders, and suicide.

At Charlie Health, our mission is to connect the world to life-saving mental health treatment.

Our innovative virtual programs combine curated group sessions, individual therapy, and family therapy, delivered through personalized, evidence-based treatment plans designed for sustainable healing from the comfort of home.

About the Role

The purpose of this position is to ensure that the utilization process is thorough, organized and streamlined to provide the best possible length of stays for our patients.

We are looking for a candidate who is inspired by our mission and excited by the opportunity to build a business that will impact millions of lives in a profound way.

Responsibilities
  • Oversees all functions of a virtual IOP caseload
  • Completes peer reviews on cases with insurance
  • Collaborates at a high level to problem solve on complex cases with Manager
  • Completes pre-certs and continued stay authorizations for virtual IOP clients in a timely manner
  • Follows up on all outstanding authorizations and reports all barriers to Manager
  • Collaborates with Revenue Team and Admissions to improve patient experience from the front door through discharge
  • Partners with Manager and Director to troubleshoot workflows and processes to achieve efficiency gains in current and future company systems
  • Delivers frequent training to clinical teams for high quality documentation standardization
  • Consulting across teams, providing mentorship, and contributing specialized knowledge
Requirements
  • Master's Degree in healthcare field preferred
  • 2+ years of experience in a utilization role within the healthcare field required
  • Microsoft Office and Salesforce proficiency
  • Strong interpersonal, relationship-building and listening skills, with a natural, consultative style
  • Ability to energize, communicate, and build rapport at all levels within an organization
  • Strong project management skills, with a demonstrable ability to corral and manage details in a fast-paced, fluid environment
  • Experience advising, presenting to, and persuading senior corporate personnel
  • Knowledge of all confidentiality requirements regarding patients and strict maintenance of proper confidentiality on all such information
  • Excellent written and verbal communication skills
  • Organizational skills
  • Ability to maintain a high level of integrity and confidentiality of medical information
  • Strict attention to details
Benefits

Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees.

The expected base pay for this role will be between $60,000 and $70,000 per year at the commencement of employment.

Our Values
  • Connection: Care deeply & inspire hope.
    • We care personally about every single person in the Charlie Health ecosystem: our clients, providers, and team members alike.
    • We inspire hope with every interaction, reminding our clients that we truly and unconditionally believe in them.
  • Congruence: Stay curious & heed the evidence.
    • We ask 'why' five times before we're satisfied with the answer. We don't stick to the status quo; we challenge our assumptions and remain humble.
    • Above all, we're results-oriented. When we find data that calls our original plan into question, we modify or pivot.
  • Commitment: Act with urgency & don't give up.
    • We work as swiftly as possible. The mental health crisis is relentless, and so are we.
    • Our clients don't give up and neither do we. Persistence is our superpower.

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