Utilization Specialist - Acute
Summit BHC
About this role
The Utilization Specialist at Carolina Dunes Behavioral Health reviews admissions, continued stays, and discharge planning using clinically valid criteria to obtain authorizations and ensure appropriate utilization. The role coordinates utilization management activities, communicates with payers and clinical staff, and provides education and reporting to support reimbursement and quality initiatives. It focuses on ensuring medical necessity, managing appeals, and improving processes related to patient length of stay and payment coordination.
Skills
Qualifications
About Summit BHC
summitbhc.comSummit Behavioral Healthcare, Addiction Treatment Centers in AZ, CA, CO, GA, IA, IN, KS, LA, MO, NJ, NM, NC, PA, SC, TN, TX, VA, WV, & WI.
Recent company news
Business WireSummit BHC Appoints David T. Vandewater as Chief Executive Officer
Aug 4, 2025
The Business JournalsSummit BHC taps former Ardent Health CEO to lead behavioral health company
Aug 4, 2025
Business WireSummit BHC Appoints Brian Walton as Executive Vice President of Operations
Sep 4, 2025
Nashville PostSummit BHC names CEO
Aug 4, 2025
PR NewswirePatient Square Capital to Acquire Summit BHC from FFL Partners and Lee Equity Partners
Sep 9, 2021
About Summit BHC
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Leadership Team
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
Unlock Company Insights
View leadership team, funding history,
and employee contacts for Summit BHC.
Salary
$70k – $96k
per year
More jobs at Summit BHC
Similar Jobs
Utilization Review/ Concurrent Review
nrmchealth
Utilization Manager RN
Brown University Health
RN - Utilization Reviewer - Coordinated Care - PT
University of Mississippi Medical Center
Utilization Review Coordinator - CMC Utilization Management - Per Diem - 8 Hour - Days
John Muir Health
Utilization Management RN EX
AdventHealth
Utilization Management Nurse I
Clallam County Public Hospital District No. 2 (DBA Olympic Medical Center)