Director Utilization Management

Universal Hospital Services Inc.; Plymouth (IN); On-site; USD 110,000 - 160,000; Full time

Benefits offered by this job

Challenging and rewarding work

Career development opportunities

Competitive compensation

Excellent medical, dental, vision

401(K) with company match

Generous paid time off

Job summary

Michiana Behavioral Health in Plymouth, Indiana, is seeking a Director of Utilization Management to lead the UM Department, oversee case management scenarios, ensure the provision of an effective treatment plan for all patients, and interface with managed care organizations and payers.

Responsibilities include overseeing all utilization management functions, precertification, concurrent, and discharge reviews, ensuring regulatory compliance, and developing UM plans.

Qualifications

• Registered Nurse licensed in Indiana or a Master level clinician required.
• Master level clinician preferred.

Responsibilities

• Oversee all utilization management functions.
• Oversee precertification, concurrent, and discharge utilization reviews.
• Facilitates regulatory compliance with proper documentation.
• Oversees Utilization Management committee structure.
• Develops and monitors utilization management plans.

Skills

Nurse leadership

Utilization management

Regulatory compliance

Interdepartmental collaboration

Education

Registered Nurse license (Indiana)

Master level clinician

Job description

Responsibilities

Michiana Behavioral Health is dedicated to creating a therapeutic environment that helps patients restore their health and get a fresh start. Located in Plymouth, Indiana, in a rejuvenating wooded setting, Michiana Behavioral Health provides each patient with comprehensive behavioral health treatment from compassionate and caring staff. Our leadership is committed to making sure every patient in our care receives high-quality care that gets them back on track at school, work, and home.

For more information, please visit our website: https://michianabehavioralhealth.com

Position Summary:

The Director of Utilization Management is responsible for directing and overseeing the UM Dept, which includes the implementation of case management scenarios, consulting with all services to ensure the provision of an effective treatment plan for all patients. This position also oversees the response to requests for services and interfaces with managed care organizations, external case managers, and other payers. Also, assures that good customer service practices are utilized. Maintains denials and appeals logs and reviews the progress of all appeals activity on a monthly basis.

Responsibilities include:

• Oversee all utilization management functions.
• Oversee precertification, concurrent, and discharge utilization reviews.
• Facilitates regulatory compliance with proper documentation.
• Oversees Utilization Management committee structure.
• Develops and monitors utilization management plans.

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.

Qualifications

Requirements:

• Registered Nurse licensed in the State of Indiana or a Master level clinician required.
• Licensed Master level clinician preferred.
• 8 - 10 years of experience working in an acute inpatient psychiatric setting as a treatment team member or
• 5 -7 years of experience in utilization management for both mental health and substance abuse behavioral health disorders.

Benefits for the Director for UM include:

• Challenging and rewarding work environment
• Career development opportunities within UHS and its Subsidiaries
• Competitive Compensation
• Excellent Medical, Dental, Vision and Prescription Drug Plan
• 401(K) with company match and discounted stock plan
• Generous Paid Time Off

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