Utilization Review Liaison

Avenues Recovery•Clarksville, IN

About The Position

Avenues Recovery Center is seeking a detail-oriented, proactive Utilization Review Liaison to support clinical operations, documentation compliance, and utilization review processes. The role bridges treatment teams, facility leadership, and the Utilization Review department to help ensure high-quality care, regulatory compliance, and positive patient outcomes. The ideal candidate is organized, comfortable in a fast-paced environment, and committed to clinical excellence and supporting individuals in recovery. The position conducts chart audits, tracks documentation completion, monitors clinical and operational processes, and supports quality assurance and compliance initiatives. It also coordinates utilization review and insurance authorization activities, supports medical-necessity and level-of-care documentation, and collaborates with clinical teams. Additional duties may include engaging with clients, assisting with intake assessments and group facilitation, and identifying training and process improvement opportunities. Avenues Recovery Center is a nationwide network of drug and alcohol rehabilitation facilities with 17 locations across six states. Its programs include detox, residential, PHP, IOP, and outpatient care. The organization describes its culture as supportive and mission-driven, with opportunities for employees to grow professionally while contributing to recovery outcomes.

Requirements

  • High school diploma or GED required.
  • Strong organizational, communication, and follow-up skills.
  • Excellent interpersonal, observational, and collaborative abilities.
  • If in recovery, at least one year of sustained sobriety is required.

Nice To Haves

  • At least one year of experience in behavioral health, addiction treatment, healthcare, or a related field.
  • Knowledge of medical terminology, clinical documentation, and utilization review processes.

Responsibilities

  • Conduct regular chart audits for documentation accuracy, completeness, and compliance with company, payer, and regulatory standards.
  • Monitor clinical and operational processes and identify opportunities for improvement.
  • Track missing documentation and ensure required chart elements are completed on time.
  • Support quality assurance initiatives and adherence to accreditation and compliance requirements.
  • Act as a liaison between clinical staff, facility leadership, and the Utilization Review department.
  • Assist with insurance authorizations, concurrent reviews, peer reviews, and appeals.
  • Support level-of-care determinations and documentation of medical necessity.
  • Coordinate communications about admissions, continued-stay reviews, level-of-care changes, and discharge planning.
  • Participate in treatment team meetings and collaborate with clinical leadership.
  • Engage with clients throughout treatment to support retention and individualized care.
  • Assist with intake assessments, group facilitation, and other clinical support duties as needed.
  • Help identify training and process improvement opportunities to enhance quality of care.

Benefits

  • Competitive compensation
  • Generous paid time off
  • 401(k) with company match
  • Medical, dental, and vision insurance
  • Employer-paid life and AD&D insurance
  • Short- and long-term disability options
  • Flexible spending accounts (FSA)
  • Employee assistance program (EAP)
  • Legal coverage
  • Pet insurance
  • Identity theft protection
  • Accident, critical illness, and hospital indemnity coverage
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