Avenues Recovery·Toms River, New Jersey
The role focuses on managing client authorizations and ensuring timely approval of services at the appropriate level of care. It involves collaborating with clinical and billing teams to maintain documentation integrity and improve UR workflows.
Avenues recovery center is now hiring: Utilization review specialists
Avenues Recovery Center is a nationwide network of drug and alcohol rehabilitation centers with eighteen locations across seven states. We provide highly individualized, evidence-based treatment in clean, modern settings across all levels of care including detox, residential, PHP, IOP, and outpatient services.
Our success is driven by our people and a strong clinical model that has helped transform thousands of lives. We are seeking a Utilization Review Specialist to join our corporate team in New Jersey and support authorization, clinical documentation integrity, and continued stay coordination across our network.
The Utilization Review Specialist ensures timely authorization of client services, supports appropriate level-of-care determinations, and partners closely with clinical and billing teams to maintain accurate documentation and continuity of care across facilities.
This role requires strong communication, attention to detail, and the ability to collaborate across clinical, administrative, and billing departments.
Willing to train
Why join avenues?
At Avenues, our people are our greatest strength. We foster a culture of support, collaboration, and purpose-driven work, where every team member is valued and empowered to make an impact.
We provide the tools, resources, and benefits needed to help you succeed both personally and professionally.
Join our growing team and discover the magic here at avenues!
Apply today!
A high school diploma is required, though a bachelor's degree and a clinical or nursing background are preferred. Candidates should ideally have at least one year of experience in behavioral health or insurance authorization.
Market context
In New Jersey, administration roles in healthcare often draw steady demand because offices need staff who can manage insurance communication, documentation, and day-to-day coordination. These positions are competitive when candidates bring computer literacy, comfort speaking with insurers, and prior medical reimbursement experience; the listed requirements and benefits here are AI-summarized from the original job description, which can save you research time. Before applying, review whether your experience with reimbursement workflows and patient-facing or insurer-facing communication matches the posting.
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