Acts as a liaison between managed care organizations and clinical staff to coordinate insurance reimbursements and medical necessity reviews. Monitors patient length of stay and manages the formal appeal process for denied admissions or continued stays.
Utilization Specialist Opportunity (8hours shifts) at The Camp Recovery Center – Scotts Valley, CA Pay Range$25.00 - $27.00: We are hiring a compassionate and experienced Utilization Specialist to work with our clients at The Camp Recovery Center in Scotts Valley! This is a key role whose primary goal is to provide a safe, nurturing environment for our adult clients who have co-occurring disorders (substance use disorder and mental health disorders). The Camp is a 74-bed treatment center providing services to adults on both an inpatient and outpatient basis. Medi-Cal Experience and Understanding Preferred
For Full Time Staff only The Camp Recovery Center provides a comprehensive package of benefits for our Full Time Utilization Specialist.. Current benefits include: Competitive hourly rate Shift differential for overnight shifts Medical, dental, and vision insurance Acadia Healthcare 401(k) plan Excellent training program Complimentary AOD Education to certify as a Substance Use Disorder Counselor Professional growth opportunity that is second to none in the industry. AVAILABLE SHIFTS AND HOURS: This is a Full-Time EMT position Monday - Friday . Shifts are 8 – hours, and are overtime eligible ADDITIONAL REGULATORY REQUIREMENTS: As Needed While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances (e.g. emergencies, changes in workload, rush jobs or technological developments) dictate. We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.
Market context
In California, behavioral-health roles tied to substance use disorder counseling and case management are typically supported by ongoing community and treatment-program demand. These positions are competitive because employers often look for a high school diploma, at least 2 years of SUD counseling or case management experience, and current Registered or Certified Drug and Alcohol Counselor status. Review the AI-summarized requirements and benefits here to quickly compare fit and note that professional development and paid continuing education are listed as benefits.
