Utilization Review Specialist

Our take on this role

About this role

Manage clinical updates and authorizations with health plans for children, youth, and adults. After a positive 90-day review, work two days in the Olathe office and three days remotely.

What could you bring from clinical work?

• Social workers: Your experience arranging service referrals and placements could help you coordinate appropriate referrals and placements with Admissions.
• Nurses: Reviewing clinical records and communicating patient status may help you provide health plans with clinical updates and manage authorizations.
• OTs, PTs and SLPs: Documenting patient needs and explaining medical necessity could help you provide clinical updates to health plans and manage authorizations.

Full job description from KVC Health Systems

Utilization Review Specialist – Join a Top 1% Workplace Are you looking for a fast-paced clinical role where your contributions are truly valued? Camber Connect is seeking a detail-oriented, compassionate professional to join our Utilization Review department.
At Camber, we do not just talk about a supportive culture—we live it. We are proud to share that our team has earned a Work Wellbeing score of 83, placing us in the top 1% of employers nationwide for employee satisfaction and support.
The Role As a Utilization Review Specialist, you serve as the vital link between our clinical treatment teams and health plans. You will manage initial, concurrent, and discharge interfaces to ensure children, youth, and adults receive the essential services they need. This is a high-impact position that requires accuracy, urgency, and a commitment to advocacy.
Work Location:
Hybrid after a positive 90-day review. 2 days in office at our Olathe corporate office, 3 days remote.
What You Will Do Act as the primary point of contact for health plans, providing clinical updates and managing authorizations.
Collaborate with physicians, nurses, and therapists to ensure timely and complete patient assessments.
Coordinate with Admissions to facilitate appropriate referrals and placements.
Maintain rigorous data integrity within Electronic Health Record (EHR) systems.
Navigate insurance policies and reimbursement procedures to support patient care.
Assist with quality assurance audits and compliance with state, federal, and Joint Commission guidelines.
What We Are Looking For Education: High School Diploma or GED required. A Bachelor’s degree in a Human Services field (Social Work, Psychology, Sociology, Education, Applied Behavioral Sciences) or Criminal Justice is preferred.
Licensure: Valid driver’s license and auto insurance.
Clinical Insight: Experience in a hospital or clinical setting, particularly with at-risk youth and families, is highly preferred.
Technical Skills: Proficiency with EHR systems and a strong understanding of medical terminology and healthcare regulations.
Analytical Mindset: Excellent critical thinking skills and the ability to work in a fast-moving, high-detail environment.
Communication: A collaborative spirit and the ability to interface professionally with diverse healthcare teams and insurance providers.
Why Camber? We operate under a clear set of values: The heart of our work is helping people. We believe in authenticity, compassion, and the power of diverse perspectives. As part of our team, you are expected to be a solutions-focused role model who builds on the strengths of those around you.
If you are ready to work for an organization where innovation marks our approach and employee wellbeing is a top priority, we want to hear from you.
Apply today to join a team that cares as much about your wellbeing as we do about the families we serve.