UR Specialist (UTILREV-01)

New Freedom Ops LLC
Phoenix, AZ, US
Posted May 1, 2026

Join New Freedom – Where Second Chances Become Bright Futures

About Us:

At New Freedom, we don’t just believe in second chances—we help people thrive because of them. We are a dynamic, compassionate, and peer\-driven community dedicated to empowering justice\-involved and formerly incarcerated individuals to successfully rebuild their lives and reintegrate into society.

Our approach blends empathy with action—offering tools, mentorship, and unwavering support that transforms lives, families, and communities. When you join New Freedom, you join a movement that creates personal, societal, and economic change every single day.

If you’re driven by purpose, passionate about people, and ready to make a lasting impact, this is where you belong.

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Why You’ll Love Working Here:

We take care of the people who take care of others. At New Freedom, you’ll enjoy:

* Competitive pay – because your impact matters

* Enhanced health insurance – wellness shouldn’t be a burden

  • +
  • $0 Medical Plan available (other options majority company\-paid)

    + $0 primary care co\-pay

    + FREE Health Reimbursement Account

    * Flexible Spending Account – medical and dependent care options

    * Low\-cost dental, vision, \& supplemental coverage – to further support your health

    * Company\-paid life insurance \& short\-term disability – for unexpected needs

    * Employee Assistance Program – confidential support for life’s challenges

    * 401(k) with company match – invest in your future while you invest in others

    * Generous paid time off – including sick days, holidays, vacations, and more

    * Free meals, snacks, drinks, \& gym access – fuel your body and mind

    About the Position – Utilization Review Specialist

    Under the supervision of the Chief Clinical Officer, the Utilization Review (UR) Specialist is responsible for managing prospective, concurrent, and retrospective utilization review activities across all behavioral health levels of care. This position serves as a critical liaison between clinical staff, third\-party payers, managed care organizations, and AHCCCS (Arizona Health Care Cost Containment System), ensuring that authorization decisions and clinical documentation meet medical necessity criteria, payer requirements, and all applicable state and federal regulatory standards. The UR Specialist operates within a multidisciplinary team environment, contributes to quality assurance and compliance initiatives, and plays a key role in supporting the organization’s revenue cycle integrity.

    Your Impact Will Include:

  • Utilization review and authorization management, such as conducting prospective, concurrent, and retrospective utilization reviews for all levels of care, including outpatient, IOP, and PHP
  • Clinical documentation and compliance, such as reviewing medical records and documentation to ensure accuracy, completeness, and compliance with AHCCCS requirements, payer criteria, and accreditation standards
  • Payer and stakeholder communication, such as actively contributing to department meetings to review trends, address emerging authorization challenges, and inform process improvement initiatives
  • Administrative and operational duties, such as performing general administrative functions supporting client services, data entry, record management, faxing, and correspondence with payers
  • Helping to contribute to an environment of professional accountability
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    Where You’ll Work:

  • This position works primarily in a professional office, hybrid, or remote work environment, depending on organizational needs and operational requirements
  • The role involves extensive computer‑based work, including use of electronic health records (EHR), utilization management systems, payer portals, and standard office software
  • Work is performed in a deadline‑driven healthcare environment, requiring adherence to authorization timeframes, regulatory requirements, and payer submission deadlines.
  • Frequent communication with clinical staff, payers, managed care organizations, and administrative teams is required via phone, email, and electronic systems
  • The position may require coordination across multiple programs or levels of care, supporting concurrent review and authorization activities
  • Work is generally performed during standard business hours, with occasional flexibility required to meet urgent authorization or review deadlines
  • The role involves handling confidential and sensitive patient information and requires strict adherence to HIPAA privacy and security standards
  • Reasonable accommodations may be provided to support individuals with disabilities in performing the essential functions of the position

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Culture Fit Test:

Think you might be a great fit? Take our quick Culture Survey here: https://go.cultureindex.com/p/STEW0uUm5lWeUVy

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Equal Opportunity Statement:

New Freedom Ops LLC is proud to be an Equal Opportunity Employer, a drug\-free workplace, and compliant with Veteran and ADA regulations.

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*"We’re not here to do small work—we’re here to change lives, rewrite stories, and rebuild communities. At New Freedom, you won’t just have a job. You’ll have a mission: to turn second chances into powerful comebacks."*

Job Details

Job Type

admin_data_entry

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Original job posting from: Indeed_linkedin

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