DIR - UTILIZATION REVIEW / MGMT

Springfield Hospital, Inc.; Springfield, Northern (IL, KY); Hybrid; USD 110,000 - 160,000; Full time

Benefits offered by this job

Retention Bonus Program

Loan Forgiveness Program

Competitive Compensation

Job summary

Lincoln Prairie Behavioral Health Center seeks a Director of Case Management (Utilization Management) to lead and oversee Utilization Management and Case Management, ensuring effective coordination of care and regulatory compliance.

This role requires strong leadership, collaboration with clinical teams, and a focus on discharge planning and patient outcomes within a 97-bed behavioral health setting in Springfield, IL.

Qualifications

• RN preferred; Master’s-level CSW considered.
• 3–5 years of case management experience.
• 3–5 years of clinical team management or supervisory experience preferred.
• Master’s degree in healthcare administration is a plus.
• Strong knowledge of utilization management, discharge planning, and behavioral health operations.

Responsibilities

• Provide operational and strategic leadership for the Case Management and Utilization Management departments.
• Supervise, coach, and develop case managers and other assigned team members.
• Ensure timely and accurate utilization review activities and payer communications.
• Monitor patient progression, discharge planning, and continuity of care processes.
• Collaborate with physicians, nursing leadership, therapists, and hospital administration.
• Maintain compliance with regulatory, accreditation, and organizational requirements.
• Analyze performance metrics and implement process improvement initiatives.

Skills

Leadership

Team supervision

Communication

Collaboration

Clinical knowledge

Education

RN licensure

MSW or Clinical Social Work (MSW)

Master’s in Healthcare Administration

Tools

Electronic Health Records

Regulatory compliance software

Job description

Responsibilities

We are hiring a Director of Case Management (Utilization Management) at Lincoln Prairie Behavioral Health Center and offering a $5,000 sign-on bonus!

Lincoln Prairie Behavioral Health Centeris a 97-bed facility located in Springfield, Illinois. We are dedicated to providing youth with compassionate mental health treatment that encourages self-responsibility and personal growth. We are the only facility of our kind in Central Illinois! We provide psychiatric treatment to children and adolescents that present with a broad range of psychiatric and behavioral disorders. A clinically skilled multidisciplinary team works to partner with the youth and family to accomplish their goals in a supportive and therapeutic environment.

The Director of Case Management (Utilization Management) is responsible for the leadership, oversight, and daily operations of the Utilization Management and Case Management functions. This role ensures effective coordination of care, appropriate resource utilization, regulatory compliance, and collaboration with clinical andmultidisciplinary teams to support positive patient outcomes.

Qualifications

Duties and Responsibilities:

• Provide operational and strategic leadership for the Case Management and Utilization Management departments.


• Supervise, coach, and develop case managers and other assigned team members.


• Ensure timely and accurate utilization review activities and payer communications.


• Monitor patient progression, discharge planning, and continuity of care processes.


• Collaborate with physicians, nursing leadership, therapists, and hospital administration.


• Maintain compliance with regulatory, accreditation, and organizational requirements.


• Analyze performance metrics and implement process improvement initiatives.

Benefit & Rewards Highlights

• Retention Bonus Program


• Loan Forgiveness Program


• Challenging and rewarding work environment


• Competitive Compensation & Generous Paid Time Off


• Excellent Medical, Dental, Vision and Prescription Drug Plans


• 401(K) with company match and discounted stock plan


• SoFi Student Loan Refinancing Program


• Tuition savings


• Career development opportunities within UHS and its 300+ Subsidiaries!


• Pet Insurance


• More information is available on our Benefits Guest Website: benefits.uhsguest.com

About Universal Health Services

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500® corporation, annual revenues during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World’s Most Admired Companies™ and in 2025, was listed in Forbes ranking of America’s Largest Public Companies.

Headquartered in King of Prussia, PA, UHS has approximately 101,500 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit www.uhs.com.

From Fortune, ©2025, 2026 Fortune Media IP Limited. All rights reserved. Used under license.

Requirements:

• Registered Nurse (RN) preferred; Master's-level Clinical Social Worker will be considered.


• 3-5 years of case management experience required.


• 3-5 years of clinical team management or supervisory experience preferred.


• Master’s degree in healthcare administration is a plus.


• Strong knowledge of utilization management, discharge planning, and behavioral health operations.


• Excellent leadership, communication, and interdisciplinary collaboration skills.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

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At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

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