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Home › Companies › 3596e582 3d6f 4ff5 9ad4 E1274c4b619c 19000101 000001 › Utilization Management Clinical Specialist

Utilization Management Clinical Specialist

3596e582 3d6f 4ff5 9ad4 E1274c4b619c 19000101 000001 · Worthington, OH, US, Worthington, OH · Active · $72,171–$88,014 / year · ADP Workforce Now Recruiting

Job facts

FieldValue
Company3596e582 3d6f 4ff5 9ad4 E1274c4b619c 19000101 000001
TitleUtilization Management Clinical Specialist
Normalized title-
Department / team-
LocationWorthington, OH, United States
Work model-
Employment typeFull Time
Salary$72,171–$88,014 / year
Statusactive
ATS providerADP Workforce Now Recruiting
Posted / first seen2026-06-10 / 2026-06-11
Changed / last seen2026-06-23 / 2026-06-23

Related slices

PageWhat it containsOpen
Company jobsActive postings from 3596e582 3d6f 4ff5 9ad4 E1274c4b619c 19000101 000001.Open
Company breakdownsRole, location, ATS, and work model facets for this company.Open
ATS provider jobsActive postings observed through ADP Workforce Now Recruiting.Open
Provider filtered searchThe same provider as a filtered job collection.Open
City jobsActive postings in Worthington.Open
Lifecycle eventsOpen, update, close, and reopen events for this posting.Open
Original postingCanonical source or apply URL captured from the ATS.Open

Linked records

Company3596e582 3d6f 4ff5 9ad4 E1274c4b619c 19000101 000001
Sourcedaa1feb4-a41d-49c7-bbf4-af2d17af2441
ATS providerADP Workforce Now Recruiting

Description

Want to make an impact? I Am Boundless is hiring for a Utilization Management (UM) Clinical Specialist ! Boundless is a non-profit organization specializing in assisting individuals with I/DD and has been serving Ohio for over 40 years. At I Am Boundless, we’re on a mission to build a world that realizes the boundless potential of all people. Join our team, which shares a common passion and purpose in empowering our community. Benefits – Why Join Boundless? Financial & Retirement 401(k) Retirement Plan with 5% Employee Matching after Six Months of Employment– Immediately 100% Vested Annual Increases Paid Time Off 5 Weeks of Paid Time Off 8 Paid Holidays Health & Wellness Medical Insurance Flexible Benefit Options Including Dental, Vision and Wellness Support Flexible Spending Account (FSA) Dependent Care Account (DCA) Life Insurance & Supplemental Life Insurance Disability Insurance Professional Support Tuition Discount Opportunities with Schools like Capella University & Franklin University A Qualified Employer for the Federal Public Service Loan Forgiveness (PSLF) Paid Training & Development Opportunities Free CE Courses through Capella University to help Maintain Licensure Perks & Discounts Employee Assistance Program (EAP) - Counseling, Therapy, Finance, Legal Discount Programs (Ex: Pet Insurance, Movie Tickets, Theme Parks, Costco Membership, etc.) Wellbeing Resources (Up to $50 off Health Insurance Premium Monthly) What You’ll Do: As a Utilization Management Clinical Specialist, you’ll play a meaningful role in supporting the organization’s clinical utilization management processes to ensure services are delivered in accordance with medical necessity, regulatory requirements, and payer authorization standards. This role functions as a clinical decision support partner, working across clinical, supervisory, and revenue cycle teams to monitor service utilization, conduct medical necessity reviews, and facilitate timely authorization processes. The UM Clinical Specialist ensures alignment between clinical practice, documentation integrity, and payer expectations, with a focus on compliance, quality, training and education associated with medical necessity and sustainable service delivery. This role is critical to ensuring that the organization delivers clinically appropriate, compliant, and financially sustainable services in alignment with evolving Medicaid and payer expectations while supporting system transformation towards value-based care. Minimum Qualifications: Master’s degree in Social Work, Counseling, Marriage and Family Therapy, or related behavioral health field Independent licensure in the State of Ohio required (LISW, LPCC, or IMFT) Minimum of 3 years of clinical experience in behavioral health services Experience with Medicaid and/or managed care authorization processes strongly preferred Prior experience in utilization management, care coordination, or quality/compliance functions preferred Ability to obtain and maintain First Aid, CPR - adult, child, and infant Experience working with people with autism spectrum disorders and developmental disabilities preferred Valid Ohio Driver's license and insurable driving record Personal vehicle to transport clients as needed Able to pass training to become certified to provide physical intervention as needed Valid driver’s license and insurable driving record, if applicable Ready to make a difference? Apply today and join a company where you can realize your Boundless potential! All candidates selected to undergo the pre-employment process will be required to complete a background check, drug screen, and health screen, as applicable for the role. We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law

Full job record

Job ID342886c42b994921b235219074431603a6a5e538
Org ID83c69a4e-75f7-4d48-b78d-927974e8a048
Source IDdaa1feb4-a41d-49c7-bbf4-af2d17af2441
Board IDdaa1feb4-a41d-49c7-bbf4-af2d17af2441
Provideradp_workforcenow
Provider Job Key587232
TitleUtilization Management Clinical Specialist
Normalized Title—
Statusactive
Activeyes
Location TextWorthington, OH, US, Worthington, OH
Department—
Team—
Employment Typefull_time
Workplace Type—
Remote Policy—
CountryUnited States
RegionOH
CityWorthington
Salary Raw72171.00 To 88014.00 (USD) Annually
Salary Min72,171
Salary Max88,014
Salary CurrencyUSD
Salary Periodyear
Source URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=3596e582-3d6f-4ff5-9ad4-e1274c4b619c&ccId=19000101_000001&lang=en_US&type=JS&jobId=587232&jwId=9201240034972_1
Apply URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=3596e582-3d6f-4ff5-9ad4-e1274c4b619c&ccId=19000101_000001&lang=en_US&type=JS&jobId=587232&jwId=9201240034972_1
First Seen At2026-06-11 12:31:24Z
Last Seen At2026-06-23 12:44:38Z
Last Checked At2026-06-23 12:44:38Z
Last Changed At2026-06-23 12:44:38Z
Inactive At—
Source Posted At2026-06-10 12:41:00Z
Source Updated At—
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Event Fields
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Extensions
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    "requisitionDescription": "<div><div><div style='margin: 0px;padding: 0px;color: rgb(0, 0, 0);font-family: \"Segoe UI\", \"Segoe UI Web\", Arial, Verdana, sans-serif;font-size: 12px;font-style: normal;font-weight: 400;text-align: start;text-indent: 0px;text-transform: none;background-color: rgb(255, 255, 255);' data-pasted=\"true\"><p style=\"margin: 0px 0px 10.6667px;padding: 0px;font-weight: normal;font-style: normal;vertical-align: baseline;background-color: transparent;color: windowtext;text-align: left;text-indent: 0px;\"><span style=\"margin: 0px; padding: 0px; font-size: 16px; line-height: 20.85px; font-family: arial, sans-serif;\"><span style=\"margin: 0px; padding: 0px;\">Want to make an impact? I Am Boundless is hiring for a <strong>Utilization Management (UM) Clinical Specialist</strong>! Boundless is a non-profit organization specializing in assisting individuals with I/DD and has been serving Ohio for over 40 years. At I Am Boundless, we&rsquo;re on a mission to build a world that realizes the boundless potential of </span></span><span style=\"margin: 0px; padding: 0px; font-size: 16px; font-style: italic; line-height: 20.85px; font-family: arial, sans-serif;\"><span style=\"margin: 0px; padding: 0px;\">all</span></span><span style=\"margin: 0px; padding: 0px; font-size: 16px; line-height: 20.85px; font-family: arial, sans-serif;\"><span style=\"margin: 0px; padding: 0px;\"> people. Join our team, which shares a common passion and purpose in empowering our community.</span></span></p><p style=\"margin: 0px 0px 10.6667px;padding: 0px;font-weight: normal;font-style: normal;vertical-align: baseline;background-color: transparent;color: windowtext;text-align: left;text-indent: 0px;\"><span style=\"margin: 0px; padding: 0px; font-size: 16px; line-height: 20.85px; font-family: arial, sans-serif; font-weight: bold;\"><span style=\"margin: 0px; padding: 0px;\">Benefits &ndash; Why Join Boundless?</span></span></p><p style=\"margin: 16px 0px;padding: 0px;font-weight: normal;font-style: normal;vertical-align: baseline;background-color: transparent;color: windowtext;text-align: left;text-indent: 0px;\"><span style=\"margin: 0px; padding: 0px; font-size: 16px; line-height: 20.85px; font-family: arial, sans-serif;\"><span style=\"margin: 0px; padding: 0px;\">Financial &amp; Retirement</span></span></p><ul style=\"list-style-type: disc;\"><li style=\"margin-left: 24px; font-family: arial, sans-serif; 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padding: 0px; line-height: 20.85px;\"><span style=\"margin: 0px; padding: 0px;\">5 Weeks </span><span style=\"margin: 0px; padding: 0px;\">of Paid Time Off</span></span></li><li style=\"margin-left: 24px; font-family: arial, sans-serif; font-size: 16px;\"><span style=\"margin: 0px; padding: 0px; line-height: 20.85px;\"><span style=\"margin: 0px; padding: 0px;\">8 Paid Holidays</span></span></li></ul><p style=\"margin: 16px 0px;padding: 0px;font-weight: normal;font-style: normal;vertical-align: baseline;background-color: transparent;color: windowtext;text-align: left;text-indent: 0px;\"><span style=\"margin: 0px; padding: 0px; font-size: 16px; line-height: 20.85px; font-family: arial, sans-serif;\"><span style=\"margin: 0px; padding: 0px;\">Health &amp; Wellness</span></span></p><ul style=\"list-style-type: disc;\"><li style=\"margin-left: 24px; font-family: arial, sans-serif; font-size: 16px;\"><span style=\"margin: 0px; padding: 0px; line-height: 20.85px;\"><span style=\"margin: 0px; padding: 0px;\">Medical Insurance</span></span></li><li style=\"margin-left: 24px; font-family: arial, sans-serif; font-size: 16px;\"><span style=\"margin: 0px; padding: 0px; line-height: 20.85px;\"><span style=\"margin: 0px; padding: 0px;\">Flexible Benefit Options Including Dental, Vision and Wellness Support</span></span></li><li style=\"margin-left: 24px; font-family: arial, sans-serif; font-size: 16px;\"><span style=\"margin: 0px; padding: 0px; line-height: 20.85px;\"><span style=\"margin: 0px; padding: 0px;\">Flexible Spending Account (FSA)</span></span></li><li style=\"margin-left: 24px; font-family: arial, sans-serif; font-size: 16px;\"><span style=\"margin: 0px; padding: 0px; line-height: 20.85px;\"><span style=\"margin: 0px; padding: 0px;\">Dependent Care Account (DCA)</span></span></li><li style=\"margin-left: 24px; font-family: arial, sans-serif; font-size: 16px;\"><span style=\"margin: 0px; padding: 0px; line-height: 20.85px;\"><span style=\"margin: 0px; padding: 0px;\">Life Insurance &amp; Supplemental Life Insurance</span></span></li><li style=\"margin-left: 24px; font-family: arial, sans-serif; font-size: 16px;\"><span style=\"margin: 0px; padding: 0px; line-height: 20.85px;\"><span style=\"margin: 0px; padding: 0px;\">Disability Insurance</span></span></li></ul><p style=\"margin: 16px 0px;padding: 0px;font-weight: normal;font-style: normal;vertical-align: baseline;background-color: transparent;color: windowtext;text-align: left;text-indent: 0px;\"><span style=\"margin: 0px; padding: 0px; font-size: 16px; line-height: 20.85px; font-family: arial, sans-serif;\"><span style=\"margin: 0px; padding: 0px;\">Professional Support</span></span></p><ul><li style=\"margin-top: 16px; margin-right: 0px; margin-bottom: 16px; padding: 0px; font-weight: normal; font-style: normal; vertical-align: baseline; background-color: transparent; color: windowtext; text-align: left; text-indent: 0px; font-family: arial, sans-serif; font-size: 16px;\"><span style=\"margin: 0px; padding: 0px; line-height: 20.85px;\"><span style=\"margin: 0px; padding: 0px;\">Tuition Discount Opportunities with Schools like Capella University &amp; Franklin University</span></span></li><li style=\"margin-top: 16px; margin-right: 0px; margin-bottom: 16px; padding: 0px; font-weight: normal; font-style: normal; vertical-align: baseline; background-color: transparent; color: windowtext; text-align: left; text-indent: 0px; font-family: arial, sans-serif; font-size: 16px;\"><span data-contrast=\"auto\" lang=\"EN-US\" class=\"TextRun SCXW140674033 BCX8\" style=\"margin: 0px; padding: 0px; line-height: 20.85px;\"><span class=\"NormalTextRun SCXW140674033 BCX8\" style=\"margin: 0px; padding: 0px;\">A Qualified Employer for the Federal Public Service Loan Forgiveness (PSLF)</span></span></li></ul></div><div style='margin-top: 0px; margin-right: 0px; margin-bottom: 0px; padding: 0px; color: rgb(0, 0, 0); font-family: \"Segoe UI\", \"Segoe UI Web\", Arial, Verdana, sans-serif; font-size: 12px; font-style: normal; font-weight: 400; text-align: start; text-indent: 0px; text-transform: none; background-color: rgb(255, 255, 255);'><ul><li style=\"font-family: arial, sans-serif; font-size: 16px;\"><span style=\"margin: 0px; padding: 0px; line-height: 20.85px;\"><span style=\"margin: 0px; padding: 0px;\">Paid Training &amp; Development Opportunities</span></span></li><li style=\"font-family: arial, sans-serif; font-size: 16px;\"><span style=\"margin: 0px; padding: 0px; line-height: 20.85px;\"><span style=\"margin: 0px; padding: 0px;\">Free CE Courses through Capella University to help Maintain Licensure</span></span></li></ul><p><span style=\"margin: 0px; padding: 0px; font-size: 16px; line-height: 20.85px; font-family: arial, sans-serif;\"><span style=\"margin: 0px; padding: 0px;\">Perks &amp; Discounts</span></span></p><ul><li style=\"font-family: arial, sans-serif; font-size: 16px;\"><span style=\"margin: 0px; padding: 0px; line-height: 20.85px;\"><span style=\"margin: 0px; padding: 0px;\">Employee Assistance Program (EAP) - Counseling, Therapy, Finance, Legal</span></span></li><li style=\"font-family: arial, sans-serif; font-size: 16px;\"><span style=\"margin: 0px; padding: 0px; line-height: 20.85px;\"><span style=\"margin: 0px; padding: 0px;\">Discount Programs (Ex: Pet Insurance, Movie Tickets, Theme Parks, Costco Membership, etc.)</span></span></li><li style=\"font-family: arial, sans-serif; font-size: 16px;\"><span style=\"margin: 0px; padding: 0px; line-height: 20.85px;\"><span style=\"margin: 0px; padding: 0px;\">Wellbeing Resources (Up to $50 off Health Insurance Premium Monthly)</span></span></li></ul><p><span style=\"font-family: arial, sans-serif; font-size: 16px;\"><br></span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;font-size:11.0pt;font-family:\"Aptos\",sans-serif;' data-pasted=\"true\"><span style=\"font-family: arial, sans-serif; font-size: 16px;\"><strong>What You&rsquo;ll Do:</strong></span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;font-size:11.0pt;font-family:\"Aptos\",sans-serif;'><span style=\"font-family: arial, sans-serif; font-size: 16px;\">As a Utilization Management Clinical Specialist, you&rsquo;ll play a meaningful role in supporting the organization&rsquo;s clinical utilization management processes to ensure services are delivered in accordance with medical necessity, regulatory requirements, and payer authorization standards.</span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;font-size:11.0pt;font-family:\"Aptos\",sans-serif;'><span style=\"font-family: arial, sans-serif; font-size: 16px;\"><br></span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;font-size:11.0pt;font-family:\"Aptos\",sans-serif;'><span style=\"font-family: arial, sans-serif; font-size: 16px;\">This role functions as a clinical decision support partner, working across clinical, supervisory, and revenue cycle teams to monitor service utilization, conduct medical necessity reviews, and facilitate timely authorization processes. The UM Clinical Specialist ensures alignment between clinical practice, documentation integrity, and payer expectations, with a focus on compliance, quality, training and education associated with medical necessity and sustainable service delivery.</span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;font-size:11.0pt;font-family:\"Aptos\",sans-serif;'><span style=\"font-family: arial, sans-serif; font-size: 16px;\"><br></span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;font-size:11.0pt;font-family:\"Aptos\",sans-serif;'><span style=\"font-family: arial, sans-serif; font-size: 16px;\">This role is critical to ensuring that the organization delivers clinically appropriate, compliant, and financially sustainable services in alignment with evolving Medicaid and payer expectations while supporting system transformation towards value-based care.</span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;font-size:11.0pt;font-family:\"Aptos\",sans-serif;'><span style=\"font-family: arial, sans-serif; font-size: 16px;\"><strong>Minimum Qualifications:</strong></span></p><div style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;font-size:11.0pt;font-family:\"Aptos\",sans-serif;'><ul style=\"margin-bottom:0in;list-style-type: disc;\"><li style=\"margin: 0in 0in 8pt; font-size: 16px; font-family: arial, sans-serif;\">Master&rsquo;s degree in Social Work, Counseling, Marriage and Family Therapy, or related behavioral health field</li></ul></div><ul style=\"margin-bottom:0in;margin-top:0in;\" type=\"disc\"><li style=\"margin: 0in 0in 8pt; font-size: 16px; font-family: arial, sans-serif;\">Independent licensure in the State of Ohio required (LISW, LPCC, or IMFT)</li><li style=\"margin: 0in 0in 8pt; font-size: 16px; font-family: arial, sans-serif;\">Minimum of 3 years of clinical experience in behavioral health services</li><li style=\"margin: 0in 0in 8pt; font-size: 16px; font-family: arial, sans-serif;\">Experience with Medicaid and/or managed care authorization processes strongly preferred</li><li style=\"margin: 0in 0in 8pt; font-size: 16px; font-family: arial, sans-serif;\">Prior experience in utilization management, care coordination, or quality/compliance functions preferred</li><li style=\"margin: 0in 0in 8pt; font-size: 16px; font-family: arial, sans-serif;\">Ability to obtain and maintain First Aid, CPR - adult, child, and infant</li><li style=\"margin: 0in 0in 8pt; font-size: 16px; font-family: arial, sans-serif;\">Experience working with people with autism spectrum disorders and developmental disabilities preferred</li><li style=\"margin: 0in 0in 8pt; font-size: 16px; font-family: arial, sans-serif;\">Valid Ohio Driver&#39;s license and insurable driving record</li><li style=\"margin: 0in 0in 8pt; font-size: 16px; font-family: arial, sans-serif;\">Personal vehicle to transport clients as needed</li><li style=\"margin: 0in 0in 8pt; font-size: 16px; font-family: arial, sans-serif;\">Able to pass training to become certified to provide physical intervention as needed</li><li style=\"margin: 0in 0in 8pt; font-size: 16px; font-family: arial, sans-serif;\">Valid driver&rsquo;s license and insurable driving record, if applicable</li></ul><p style=' border-box;--tw-shadow: 0 0 #0000;--tw-ring-inset: ;--tw-ring-offset-width: 0px;--tw-ring-offset-color: #fff;--tw-ring-color: rgba(59,130,246,.5);--tw-ring-offset-shadow: 0 0 #0000;--tw-ring-shadow: 0 0 #0000;line-height: 1.25;margin: 0px 0px 10.6667px 24px;color: windowtext;font-family: \"Segoe UI\", \"Segoe UI Web\", Arial, Verdana, sans-serif;font-size: 12px;font-style: normal;font-variant-ligatures: normal;font-variant-caps: normal;font-weight: normal;letter-spacing: normal;orphans: 2;text-indent: 0px;text-transform: none;widows: 2;word-spacing: 0px;-webkit-text-stroke-width: 0px;white-space: normal;text-decoration-thickness: initial;text-decoration-style: initial;text-decoration-color: initial;padding: 0px;vertical-align: baseline;background-color: transparent;text-align: left;' data-pasted=\"true\"><span style=\"font-family: arial, sans-serif; font-size: 16px;\"><br></span></p></div><p style=\"margin: 16px 0px;padding: 0px;font-weight: normal;font-style: normal;vertical-align: baseline;background-color: transparent;color: windowtext;text-align: left;text-indent: 0px;\"><span style=\"margin: 0px; padding: 0px; font-size: 16px; line-height: 20.85px; font-family: arial, sans-serif;\"><span style=\"margin: 0px; padding: 0px;\">Ready to make a difference? Apply today and join a company where you can realize your Boundless potential!&nbsp;</span></span></p><p style=\"margin: 16px 0px;padding: 0px;font-weight: normal;font-style: normal;vertical-align: baseline;background-color: transparent;color: windowtext;text-align: left;text-indent: 0px;\"><span style=\"margin: 0px; padding: 0px; font-size: 16px; line-height: 20.85px; font-family: arial, sans-serif;\"><span style=\"margin: 0px; padding: 0px;\">All candidates selected to undergo the pre-employment process will be required to complete a background check, drug screen, and health screen, as applicable for the role.</span></span></p><p style=\"margin: 16px 0px;padding: 0px;font-weight: normal;font-style: normal;vertical-align: baseline;background-color: transparent;color: windowtext;text-align: left;text-indent: 0px;\"><span style=\"margin: 0px; padding: 0px; font-size: 16px; line-height: 20.85px; font-family: arial, sans-serif;\"><span style=\"margin: 0px; padding: 0px;\">We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law</span></span></p><p style=\"margin-left:.5pt;\"><br></p><p style=\"margin-left:0in;\"><br></p></div></div>\n",
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