AWA and PRC

1 open remote positions

AWA and PRC are dual behavioral health organizations operating PHP and IOP programs across South Florida. They exist to serve clients and families at their most critical moments.

Salary Distribution 1 of 1 jobs

Open Positions

Utilization Review Specialist (Remote) - Behavioral Health

$24–$26/hr
US

  • Manage insurance authorizations for clients in PHP and IOP programs, including pre-certifications and concurrent reviews.
  • Verify benefits, obtain Single Case Agreements, and build medical necessity cases using ASAM, LOCUS, and CALOCUS criteria.
  • Maintain accurate authorization, denial, and SCA records and prepare appeals on denied authorizations.

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