Director of Utilization Review - Behavioral Health

Signet Health; Midland (TX); On-site; USD 120,000 - 150,000; Full time

Job summary

Signet Health is seeking a Director of Utilization Review for the Permian Basin Behavioral Health Center, a new standalone psychiatric hospital in Midland, TX. The role leads utilization management, payer relations, and regulatory compliance to ensure medically necessary care.

The onsite, Monday–Friday position requires an RN license in Texas and 2+ years in UR/managed care, with experience in InterQual and MCG criteria. Join a mission-driven team improving regional behavioral health access.

Qualifications

• Current, unencumbered RN license in Texas.
• Minimum 2 years of psychiatric/behavioral health clinical nursing experience.
• 2+ years in utilization review, case management, or managed care, ideally with Texas Medicare/Medicaid.

Responsibilities

• Oversee admission, continued-stay, and discharge reviews using InterQual/MCG criteria.
• Manage pre-certifications, concurrent reviews, and payer communications with insurers and Medicaid/Medicare.
• Lead denial prevention, appeals, and collaboration with revenue cycle teams.

Skills

Leadership

Negotiation

Regulatory compliance

Communication

Data tracking

Education

RN license in Texas

LCSW or LPC license (desired)

Tools

EMR systems

InterQual

MCG

Job description

Signet Health is seeking a Director of Utilization Review for the Permian Basin Behavioral Health Center, a new standalone psychiatric hospital in Midland, TX. The role leads utilization management, payer relations, and regulatory compliance to ensure medically necessary care.

The onsite, Monday–Friday position requires an RN license in Texas and 2+ years in UR/managed care, with experience in InterQual and MCG criteria. Join a mission-driven team improving regional behavioral health access.