Behavioral Health Utilization Review Manager

Forest View Hospital; Grand Rapids (MI); On-site; USD 75,000 - 110,000; Full time

Benefits offered by this job

Medical, Dental, Vision plans

Student Loan Repayment

401(k) and Roth 401(k) with company/

Employee Stock Purchase Program

Competitive compensation & Paid Time "

Disability, Life, Pet Insurance

Job summary

Forest View Hospital in Michigan is seeking a Utilization Review Manager to direct the Utilization Program for inpatient and outpatient services. You will implement case management scenarios, coordinate with services to ensure effective treatment plans, and interface with managed care organizations and payors.

The role requires a Bachelor's degree, at least three years in Utilization Management, and Michigan licensure ( LLP/LPC/LLP LMSW/LLMSW or RN ).

Qualifications

• Education: Bachelor's Degree required.
• Experience: minimum three years in Utilization Management.
• License: Michigan licensure as LLP, LPC, LLPC LMSW, LLMSW, or RN.

Responsibilities

• Direct and oversee the Utilization Program for Inpatient and Outpatient services.
• Implement case management scenarios and coordinate with services for effective treatment plans.
• Interface with managed care organizations, external reviewers, and payors.

Skills

Utilization Management

Education

Bachelor's Degree

Job description

Forest View Hospital in Michigan is seeking a Utilization Review Manager to direct the Utilization Program for inpatient and outpatient services. You will implement case management scenarios, coordinate with services to ensure effective treatment plans, and interface with managed care organizations and payors.

The role requires a Bachelor's degree, at least three years in Utilization Management, and Michigan licensure ( LLP/LPC/LLP LMSW/LLMSW or RN ).