Utilization Review Specialist - Hill Country Billing Partners - Austin, TX
(2025-03 - 2026-07)
- Complete utilization reviews for Detox, Residential Treatment, Partial Hospitalization Program, and Intensive Outpatient Program
- Assess and document medical necessity based on clinical presentation, risk factors for relapse, co-occurring psychiatric and medical conditions, and ASAM criteria
- Collaborate with treatment teams to ensure appropriate level of care placement and continuity of services
- Justify the need for 24/7 monitoring in residential and detox settings and articulate why lower levels of care would not meet client needs
- Submit timely initial, concurrent, and appeal reviews in compliance with payer requirements
- Monitor clinical documentation to ensure alignment with medical necessity and payer guidelines across all levels of care
- Manage time effectively and complete tasks independently without direct supervision
- Maintain accurate records while ensuring compliance with HIPAA and all regulatory standards
Residential Program & PHP Counselor - Infinite Recovery - Austin, TX
(2024-02 - 2025-01)
- Conduct comprehensive assessments and develop individualized treatment plans
- Facilitate group and individual counseling sessions focusing on relapse prevention and life skills
- Engage in case management activities and coordinate with healthcare professionals
- Maintain compliance with HIPAA regulations and ensure accurate documentation
- Provide crisis intervention and support as needed
Substance Abuse Counselor Intern - The Springboard Center - Midland, TX
(2023-06 - 2024-02)
- Led group therapy sessions addressing addiction, coping strategies, and emotional regulation
- Developed and implemented treatment plans tailored to clients' needs
- Conducted outreach programs to raise awareness about substance abuse resources
- Assisted with discharge planning and connected clients with support services
Lead Recovery Advocate - The Springboard Center - Midland, TX
(2021-11 - 2023-06)
- Supervised and mentored recovery advocates in supporting individuals in recovery
- Facilitated educational sessions on relapse prevention, addiction, and coping skills
- Assisted clients with developing structured recovery plans and setting goals
- Provided crisis intervention and connected clients with community resources
