ZipRecruiter

Log In

1

Intern Optum Health Utilization Review Jobs in Utah

Imh

Manager Utilization and Care Management

Murray, UT · On-site +1

$44.99 - $69.44/hr

The Clinical Manager at Select Health leads and supervises a team of Utilization Review and Care Management clinicians within an insurance and managed care environment. This role ensures delivery of ...

Oak St. Health

Grad Pharmacist

Orem, UT · On-site

$14.50 - $18/hr

... quality assurance drug utilization review (DUR), pharmacy professional standards such as ... As health care

next page

Showing results 1-20

All JobsIntern Optum Health Utilization Review JobsIntern Optum Health Utilization Review Jobs in Utah

Intern Optum Health Utilization Review information

What is the difference between Intern Optum Health Utilization Review vs Intern UnitedHealth Group Case Management?

AspectIntern Optum Health Utilization ReviewIntern UnitedHealth Group Case Management
CertificationsNone required, healthcare-related knowledge preferredNone required, healthcare knowledge beneficial
Work EnvironmentHealthcare settings, insurance review teamsHealthcare settings, patient coordination teams
Employer & IndustryOptum Health, healthcare and insurance industryUnitedHealth Group, healthcare and insurance industry

Both roles are healthcare internships within the insurance industry, focusing on different aspects. The Utilization Review intern primarily assesses insurance claims and medical necessity, while the Case Management intern coordinates patient care. They share similar environments and may require healthcare knowledge, but their core responsibilities differ, making each role unique within the healthcare insurance sector.

What cities in Utah are hiring for Intern Optum Health Utilization Review jobs?

Cities in Utah with the most Intern Optum Health Utilization Review job openings:

Intern Optum Health Utilization Review jobs near you

Behavioral Health Utilization/Authorization Specialist

Sandy, UT

Threshold Billing Solutions
Insurance Services • 11 - 50 employees
Learn more about Threshold Billing Solutionsexternal

Full-time

Medical, Dental, Vision, Life, PTO

Re-posted 22 days ago

Job description

Description

Edit
Posting
We are seeking a Behavioral Health Utilization Review / Authorization Specialist to support clinical authorization and utilization management for substance use disorder and mental health treatment programs. This role works closely with insurance companies and treatment providers to obtain authorizations for ASAM levels of care, including detoxification, residential, PHP, IOP and GOP treatment services.
 
Position Summary
The Utilization/Authorization Specialist plays a key role in advocating for clients by obtaining treatment authorizations and facilitating communication between providers and insurance payers. This position is responsible for reviewing behavioral health clinical documentation, submitting authorization requests, and ensuring accurate, timely tracking of coverage. The ideal candidate will be detail-oriented, organized, capable of communicating clearly with both internal teams and external insurance representatives, and may have direct clinical experience working as a Peer Support Specialist, Case Manager, SUDC, LCSW/CSW, CMHC in the substance abuse or mental health treatment field.
 
Experience in Utilization Review Not Required
While prior utilization review experience is always valued, many of our most successful team members have come from a variety of backgrounds within the behavioral health treatment field. Candidates who have worked in residential treatment centers, outpatient programs, or other clinical/administrative behavioral health settings often transition very well into this role. Their firsthand understanding of the treatment process, client needs, and clinical workflows provides an excellent foundation for learning utilization review.
 
We provide comprehensive training and ongoing support, so if you bring a strong work ethic, attention to detail, and a passion for supporting access to care, you can thrive with us even without previous UR experience.
 
Key Responsibilities
 
  • Maintain proactive and effective communication with insurance payers and managed care organizations.
  • Review and interpret clinical documentation, case notes, and assessments to determine and advocate for the appropriate level of care.
  • Prepare and submit initial and concurrent authorization requests, as well as appeals when necessary.
  • Enter and update authorization details in internal data systems accurately and promptly.
  • Track ongoing authorization needs across all levels of care (RTC, PHP, IOP, OP).
  • Communicate with facility staff and internal departments regarding client coverage and clinical needs.
  • Serve as a client advocate, ensuring access to appropriate care through effective payer communication.
  • Ensure timely documentation of all authorizations, decisions, and payer communications.
  • Perform other related duties as assigned.
 
Qualifications
 
  • May have direct clinical/behavioral health experience working as a Peer Support Specialist, Case Manager, SUDC, LCSW/CSW, CMHC in the substance abuse or mental health treatment field is preferred (but not required).
  • Experience in behavioral health or utilization review preferred (but not required).
  • Knowledge of CPT/ICD-10 coding, ASAM/LOCUS criteria, and EMR systems is a plus but not a requirement.
  • Strong verbal and written communication skills.
  • Excellent organization and attention to detail; able to manage multiple tasks and priorities.
  • Critical thinking and analytical skills with the ability to interpret and present clinical information.
  • Ability to work independently and as part of a collaborative team.
  • Proficiency in Microsoft Office and Google Workspace.
  • Comfortable working in a fast-paced environment with deadlines and competing priorities.
 
Education & Experience
 
  • High school diploma or equivalent required. Associate’s degree or higher preferred.
  • At least 1 year of experience in behavioral health or utilization review preferred (not required).
  • Prior experience in the substance use and/or mental health treatment field is highly valued.
  • Licensed or credentialed as a Peer Support Specialist, Case Manager, SUDC, LCSW/CSW, CMHC in the substance abuse or mental health treatment field is preferred (but not required).
 
 Benefits
 
  • Health, dental, and vision insurance
  • Paid time off (PTO)
  • Sick Time
  • Life insurance
  • Short- and long-term disability coverage
  • Lunch catered two times per week
  • Supportive, team-oriented work environment
  
Work Environment
 

  • This is a full-time, on-site position located at our Sandy, Utah office.
 
To Apply: Please submit your resume and a brief cover letter detailing your interest in the role and relevant experience.

E04JI800tn6i4098kmp