On-Site Utilization Specialist

On-Site Utilization Specialist Job Locations US-FL-Brooksville Job Post Information* : Posted Date 2 days ago (10/19/2026 4:57 PM) ID 2026-112528 # of Openings 1 Job Family Administrative Support Location : Name Sabal Palms Recovery Center Overview ​ Are you prepared for the impact you can make in your UR career at a well-respected treatment center in Brooksville, Florida? If so, you may enjoy working at Sabal Palms Recovery Center, an addiction treatment facility nestled on a 10-acre campus located along Florida's Nature Coast and surrounded by live oak trees. Sabal Palms Recovery Center provides premier residential treatment for adults aged 18 and older who are struggling with addictions. We are looking to for a Full Time Utilization Review Specialist to join our team. The UR specialist proactively monitors utilization of services for patients to optimize reimbursement for the facility. Schedule: Monday - Friday, 40 hour week - benefit-eligible. This position is required to be in-person. Pay: Pay for this position starts at $22 and increases based on relevant experience Responsibilities ​ ESSENTIAL FUNCTIONS: ​ Act as liaison between managed care organizations and the facility professional clinical staff. ​ Conduct reviews , in accordance with certification requirements , of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements. ​ Monitor patient length of stay and extension s and i nform clinical and medical staff on issues that may impact length of stay. ​ Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office. ​ Conduct quality reviews for medical necessity and services provided. ​ Facilitate peer review calls between facility and external organizations. ​ Initiate and complete the formal appeal process for denied admissions or continued stay. ​ Assist the admissions department with pre-certifications of care . ​ Provide ongoing support and training for staff on documentation or charting requirements, continued stay criteria and medical necessity updates. ​ OTHER FUNCTIONS: ​ Perform other functions and tasks as assigned. Qualifications ​ EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: ​ Required Education: High school diploma or equivalent. ​ Preferred Education : Associate's, Bachelor's, or M aster’s degree in S ocial W ork , B ehavioral or M ental H ealth, N ursing, or a related health field. ​ Experience: Clinical experience is required, or two or more years' experience working with the facility's population. Previous experience in utilization management is preferred ​ LICENSES/DESIGNATIONS/CERTIFICATIONS: ​ CPR and de-escalation and restraint certification required (training available upon hire and offered by facility. ​ First aid may be required based on state or facility requirements. ​ ​ ADDITIONAL REGULATORY REQUIREMENTS: ​ ​ While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from par ticular jobs when circumstances (e.g. emergencies, changes in workload, rush jobs or technological developments) dictate. We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws. This position requires a Level 2 Background Screening through the Florida Care Provider Background Screening Clearinghouse. In accordance with Florida law, employers must provide applicants with direct access to information about the state’s background screening requirements. To learn more about disqualifying offenses, exemption procedures, and screening timelines, please visit the Agency for Health Care Administration (AHCA) Background Screening Education & Awareness webpage: https://info.flclearinghouse.com/education-awareness Applicants are encouraged to review these requirements before applying. SPRC Options Apply Here Apply Share Email this job to a friend Refer Sorry the Share function is not working properly at this moment. Please refresh the page and try again later. Share on your newsfeed Connect With Us! Not ready to apply? Connect with us for general consideration. Application FAQs Software Powered by ICIMS www.icims.com