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BT

Utilization Review Specialist

Banyan Treatment Centers·Pompano Beach, Florida

$50,000 - $65,000/yr·Full Time·Remote Solely·Remote friendly
·
2-5 yrs
·Posted 3 hours ago
Practice for this role

About the role

Manage a caseload of 50–75 patients by conducting admission and continuing-stay reviews to ensure medical necessity and compliance. Coordinate authorizations with managed care organizations and collaborate with clinical and billing teams to support patient treatment and reimbursement.

Utilization Review Specialist | Remote | Full-Time $50,000 – $65,000 Annually | Weekdays (Weekend Availability as Needed)

Banyan 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 Centers

Banyan Treatment Centers [https://www.linkedin.com/safety/go/?url=https%3A%2F%2Fwww%2Ebanyantreatmentcenter%2Ecom%2F&urlhash=aoKC&isSdui=true] is a leading national provider of intensive treatment for individuals facing substance use and mental health disorders. Backed by TPG [https://www.linkedin.com/safety/go/?url=https%3A%2F%2Fwww%2Etpg%2Ecom%2F&urlhash=MESA&isSdui=true], 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 Responsibilities
  • Manage a caseload of 50–75 patients, authorizing 15–25 cases daily and ensuring timely utilization reviews and appropriate level of care determinations
  • Conduct admission and continuing-stay reviews to assess medical necessity and ensure compliance with treatment standards
  • Verify insurance benefits, coordinate authorizations, and communicate effectively with external case managers and managed care organizations
  • Establish and maintain contracts with managed care companies and request rate increases when appropriate
  • Collaborate with clinical and billing departments to support discharge planning, documentation, and timely reimbursement
  • Identify and address over- and underutilization trends
  • Assist in resolving outstanding case issues with insurers

Qualifications

Required

  • High school diploma or equivalent
  • Minimum one year of utilization review experience in a psychiatric or chemical dependency setting
  • Strong organizational, documentation, and communication skills
  • Ability to manage high caseloads with accuracy and efficiency
  • Comfortable working independently in a remote environment

Preferred

  • Graduate degree in a health or behavioral health related field
  • Clinical licensure (LCSW, LMHC, LPC, RN, or equivalent) — valued but not required
  • Experience working with managed care organizations, insurance authorization, and level of care criteria
  • Familiarity with Joint Commission standards and behavioral health regulatory requirements

Apply Now

If 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.

Requirements

Requires a high school diploma or equivalent and at least one year of utilization review experience in a psychiatric or chemical dependency setting. Strong organizational and documentation skills are essential, with a preference for candidates holding a graduate degree or clinical licensure.

  • high school
  • postgraduate degree
  • Communication
  • Documentation
  • Organizational skills
  • Regulatory compliance
  • Discharge planning
  • Case management
  • Utilization review
  • Insurance authorization
  • Clinical operations
  • Medical necessity determination
  • Level of care assessment
  • Managed care coordination

Benefits

  • Holidays
  • Dental insurance
  • Vision insurance
  • Medical insurance
  • Paid time off
  • Short-term disability
  • Long-term disability
  • 401(k) with employer match
  • Employee assistance program
  • Wellness incentives
  • Referral program
  • Whole life insurance
  • Term life insurance

Posting details

Employment type
Full Time
Work arrangement
Remote Solely
Experience
2-5 yrs
Salary
$50,000 - $65,000/yr
Location
Pompano Beach, Florida
Posted
Jul 28, 2026
Application
Employer website
BT

Hiring organization

Banyan Treatment Centers

At Banyan Treatment Centers, we provide compassionate, evidence-based addiction and mental health treatment through a nationally recognized network of 17 facilities across the United States. Our full continuum of care supports individuals at every stage of recovery and includes...

Salary listed on 34 jobs
IndustryMental Health Care
TypePrivately Held
Size1,001-5,000 employees
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Market context

Florida utilization review roles need healthcare experience

In Florida, Utilization Review Specialist roles are commonly tied to behavioral health, substance use treatment, and broader healthcare settings, where employers look for candidates who can manage authorization and review workflows accurately. These jobs are competitive because they often prefer healthcare-related degrees and prior utilization review experience, and this platform’s AI-summarized job requirements and benefits help you quickly compare openings without reading every original posting. Before applying, match your experience to review, authorization, and documentation duties in your resume.

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