Utilization Review Coordinator – Behavioral Health

Avenues Recovery • Toms River, NJ

7d • Onsite

About The Position

Avenues Recovery Center is seeking a Utilization Review Specialist to join its corporate team in New Jersey. The role supports authorization, clinical documentation integrity, and continued-stay coordination across the organization’s network of drug and alcohol rehabilitation centers.

The Utilization Review Specialist ensures timely authorization of client services, supports appropriate level-of-care determinations, and partners with clinical and billing teams to maintain accurate documentation and continuity of care across facilities. The position requires strong communication, attention to detail, and collaboration across clinical, administrative, and billing departments.

Requirements

• High school diploma or GED.
• Strong written and verbal communication skills.
• Excellent interpersonal and collaboration skills.
• Strong attention to detail and documentation accuracy.
• Ability to manage multiple cases and deadlines.
• Sound judgment and critical thinking.
• Flexible, team-oriented, and adaptable in a fast-paced environment.

Nice To Haves

• Bachelor's degree.
• Nursing background, clinical background, or healthcare knowledge.
• At least 1 year of experience in behavioral health, healthcare, or a treatment setting.
• Experience with utilization review, insurance authorization, or medical billing.

Responsibilities

• Field incoming calls, emails, and documentation requests related to client authorizations.
• Ensure timely approval and continuation of services at the appropriate level of care.
• Manage client caseloads and support authorization workflows across facilities.
• Advocate for continued stay based on clinical documentation and treatment needs.
• Work with billing and clinical teams to identify and resolve authorization issues.
• Communicate with facility leadership about utilization review status and documentation needs.
• Coordinate between treatment teams and administrative departments.
• Maintain accurate electronic records of utilization review activity and authorization communications.
• Ensure documentation meets internal standards and payer requirements.
• Identify charting gaps and support improvements in documentation workflows.
• Assist in creating standardized templates and utilization review workflows across facilities.
• Work with site leaders to support consistent implementation of processes.
• Support improvements to internal utilization review systems and efficiency initiatives.

Benefits

• 401(k) with employer match.
• Medical, dental, and vision insurance.
• Accident, critical illness, and hospital indemnity coverage.
• Employer-paid life and AD&D insurance.
• Short- and long-term disability options.
• Legal coverage and identity theft protection.
• Pet insurance.
• Employee Assistance Program (EAP).
• Flexible Spending Accounts for medical and dependent care.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED