UR Specialist: Remote

Salary: $70,000 - $75,000 annually, depending on experience and licensure. Who We Are At Alsana, we exist to be a source of hope and healing in the world. We are a dedicated eating disorder recovery community supporting adults and adolescents of all genders through personalized, whole-person care. We offer in-person residential, outpatient, and virtual programs nationwide, including adolescent PHP and IOP. Our programs are designed to meet people where they are in their recovery journey. Our culture is deeply relational and grounded in clinical integrity, whole-heartedness, mutual respect, thoughtful engagement, and rooted reliability. We believe the way we show up for one another is inherently healing and shapes every interaction we have with clients, families, and partners. Every team member plays a vital role in creating an experience where people feel rooted, engaged, and respected. When you join Alsana, you become part of a recovered community built on compassion, respect for each person’s unique story, and access to care across all identities. The Role As the Utilization Review Specialist at Alsana, you will have a well-developed knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. You will be responsible for performing a variety of initial, concurrent and retrospective UM-related reviews and functions and for ensuring that clients receive authorization and approval for the appropriate levels of care and keep good documentation and records. As a UR Specialist, you will collaborate and work closely with your assigned clinical and treatment teams to ensure seamless communication, and coordination for authorization and compliance with all required insurance company regulations. * Perform Utilization Review - pre-authorization, concurrent and retrospective review as needed for inpatient/or outpatient services and/or predetermination reviews for services or levels of care requiring authorization according to the market requirements and/or policies * Use clinical expertise and payor knowledge to act as a liaison to treatment team members by utilizing open communication * Participate in case conferences, clinical in-services, and other educational opportunities * Maintain all required documentation in the information systems in a timely manner * Perform all other duties as assigned Qualifications * Master's degree in counseling; LPC, LCSW, LMFT or BSN in nursing, Licensure is preferred. * Experience in utilization review and managed care preferred * Experience in Eating Disorder’s preferred * Excellent time management, communication skills along with computer skills and familiarity with KIPU and other EMR systems. * Benefits That Support You At Alsana, we believe in taking care of the people who make our mission possible. Eligible team members enjoy a supportive benefits package designed to support your health, well-being, and growth, including: * Medical, Dental, and Vision insurance with multiple plan options * (Cigna nationwide; Kaiser available in CA) * HSA plans with employer contributions * FSA Healthcare and Dependent Care plan options * Generous PTO, sick time, Covid Time, & 6 paid holidays * Company-paid Basic Life and AD&D insurance * Short-term disability (company-paid for non-CA; CA uses state plan) * Continuing education stipend for eligible roles * Voluntary benefits including Supplemental Life, Long-Term Disability, Accident, & Hospital Indemnity * LifeMart employee discount program * Free meals & snacks (position-specific) Join us in helping people feel rooted, engaged, and respected as they find their path to recovery. Together, we foster a community built on compassion, mutual respect, and whole-hearted care. #THE123