Director of Utilization Management & Payer Relations

Universal Health Services; Memphis (TN); On-site; USD 110,000 - 170,000; Full time

Benefits offered by this job

Competitive Compensation & Generous PT

Excellent Medical, Dental, Vision

401k with company match

Tuition assistance

Pet Insurance

SoFi Student Loan Refinancing Program

Tuition savings for nursing education

Job summary

Universal Health Services (UHS) Lakeside Behavioral Health System in Memphis, TN seeks a senior leader to oversee utilization management and regulatory compliance for inpatient psychiatric services. The role drives utilization review, case documentation, payer relationships and departmental administration, ensuring compliance and optimal reimbursement across the hospital.

Ideal candidates bring 8–10 years in acute inpatient psychiatry or 5–7 years in utilization management for mental

Qualifications

• Masters degree required in healthcare leadership, nursing, social work, counseling or psychology.
• 8-10 years in acute inpatient psychiatric settings or 5-7 years in utilization management for mental health/substance abuse.
• TN RN license, LCSW, or LPC preferred.

Responsibilities

• Oversees utilization management including utilization review, case documentation, payer relationships and regulatory requirements.
• Supports hospital success, patient satisfaction, regulatory compliance and optimal reimbursement.

Skills

Utilization management

Leadership

Team management

Regulatory compliance

Education

Masters degree

Tools

EMR systems

Job description

Universal Health Services (UHS) Lakeside Behavioral Health System in Memphis, TN seeks a senior leader to oversee utilization management and regulatory compliance for inpatient psychiatric services. The role drives utilization review, case documentation, payer relationships and departmental administration, ensuring compliance and optimal reimbursement across the hospital.

Ideal candidates bring 8–10 years in acute inpatient psychiatry or 5–7 years in utilization management for mental