About this opportunity
Aspire Health Partners lists this UTILIZATION REV SPEC I opportunity in orlando, Florida. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Behavioral Health Utilization Review Specialist I
Aspire Health Partners, Inc.
Make a Difference in Behavioral Health Care
At Aspire Health Partners, we are dedicated to transforming lives through compassionate, high-quality behavioral healthcare. As Florida’s largest nonprofit behavioral health provider, we serve diverse populations across Central Florida and are committed to clinical excellence and meaningful impact.
We are currently seeking a Utilization Review Specialist to join our team and play a key role in ensuring our clients receive the care they need while supporting effective coordination with insurance providers.
Position Summary
In this role, you will coordinate and manage insurance utilization review activities for hospitalized clients. You’ll work closely with clinical teams, insurance representatives, and internal departments to ensure timely authorizations, support treatment planning, and contribute to high-quality patient outcomes.
Key Responsibilities
Partner daily with the Access Center and/or Crisis Response Center (CRC) to identify clients needing utilization review
Communicate clinical information to insurance reviewers to secure authorizations and extended lengths of stay
Collaborate with attending psychiatrists on clinical assessments and treatment recommendations
Participate in interdisciplinary treatment team meetings to support care for managed care clients
Provide constructive clinical feedback to enhance service delivery and patient care
Ensure accurate authorization details are submitted to Patient Accounts for billing
Review client charts for potential denial issues and support appeal processes when needed
Maintain strict adherence to ethical standards, confidentiality, and organizational policies
Qualifications
Required:
High School Diploma or equivalent
Level II Background clearance- All Aspire Health Partners Internships and Careers require Level 2 clearance, with Aspire covering fingerprinting costs. Click to learn more.
Valid driver’s license with an acceptable driving record per organizational guidelines
Preferred:
Experience in behavioral health, utilization review, or managed care environments
LPN or RN experience
Strong communication, documentation, and organizational skills
Why Join Aspire?
Mission-driven organization making a real impact in your community
Collaborative, team-focused work environment
Opportunities for growth and professional development
A role where your work directly supports quality care and patient outcomes
Equal Opportunity Employer
Aspire Health Partners is a drug-free workplace and an Equal Opportunity Employer. We value diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will be considered without regard to race, color, religion, national origin, sex, age, disability, or veteran status.
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Worksite address
orlando, FL, 32885, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.