Hybrid Utilization Management Manager (Mental Health)

Oakland Community Health Network; Troy (MI); Hybrid; USD 83,000 - 104,000; Full time

Job summary

Oakland Community Health Network in Michigan is seeking a Manager of Utilization Management to lead UM operations, ensure compliant, cost-effective service delivery, and drive performance improvement.

You will supervise staff, coordinate with providers, analyze utilization data, and develop policies and trainings to support quality care across the service network. Hybrid onsite/remote work with licensure eligibility in Michigan is preferred.

Qualifications

• Master's degree in mental health field.
• State license or eligibility for relevant Michigan credentials.
• 3–5 years post-graduate clinical experience in mental health settings.

Responsibilities

• Supervises Utilization Management staff and supports professional development.
• Oversees UM operations to ensure compliance with policies and regulations.
• Manages service authorization and utilization review for clinically appropriate care.
• Analyzes utilization data to identify trends and drive performance improvement.
• Monitors performance indicators and leads corrective actions.
• Develops UM policies, procedures, and training tools.
• Prepares reports for leadership and stakeholders.
• Collaborates with providers to address utilization concerns.

Skills

Clinical leadership

Team supervision

Data analysis

Communication

Regulatory knowledge

Education

Master's degree in mental health field

State of Michigan professional license eligibility (psychologist, social worker, counselor, LMFT, or RN)

Job description

Oakland Community Health Network in Michigan is seeking a Manager of Utilization Management to lead UM operations, ensure compliant, cost-effective service delivery, and drive performance improvement.

You will supervise staff, coordinate with providers, analyze utilization data, and develop policies and trainings to support quality care across the service network. Hybrid onsite/remote work with licensure eligibility in Michigan is preferred.