Manager of Utilization Review

Universal Hospital Services Inc.; St. Johns (MI); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401k with company match

Student Loan Repayment

Paid Time Off

Disability options

Life insurance

Pet insurance

Job summary

Cedar Creek Hospital in Michigan seeks a Manager of Utilization Review to lead the Utilization Review Program for inpatient and outpatient services, including managing staff and case management processes.

This leadership role interfaces with managed care organizations and payors, ensuring effective treatment plans and compliant review workflows to support quality patient care.

Qualifications

• Licensure in Michigan required: LMSW, LPC, RN or LVN.
• 3-5 years direct clinical experience in a psychiatric or mental health setting.

Responsibilities

• Manage and oversee the Utilization Review Program for inpatient and outpatient services.
• Lead department staff and implement case management scenarios to support treatment plans.
• Interface with managed care organizations, external reviewers, and other payors.

Education

LMSW

LPC

RN

LVN

Job description

Responsibilities

Cedar Creek Hospital of Michigan is a beautiful and state of the art 72-bed facility. Cedar Creek provides evidence-based treatment to adolescents and adults struggling with mental health issues. Cedar Creek Hospital invests in our patients by offering an integrated medicine approach that provides the latest therapies including yoga, mindfulness, aromatherapy, music therapy and nutrition. As part of our success and innovation in the field we are seeking qualified applicants for a Manager of Utilization Reviewposition.

Learn more about Cedar Creek Hospital online at: Cedar Creek Hospital

Description

The Manager of Utilization Review is responsible for managing and overseeing the Utilization Review Program for Inpatient and Outpatient services, including management of the department’s employees. This includes the implementation of case management scenarios, consulting with all services to ensure the provision of an effective treatment plan for all patients, oversees the response to requests for services and interfaces with managed care organizations, external reviewers, and other payors.

Benefits

• Cedar Creek offers an extensive benefits program including Medical (BCBS), Dental (Delta), Vision (VSP), 401k with a company match, Student Loan Repayment of up to $200 per month, Paid Time Off, Disability options, Life insurance, Pet insurance and much more.

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 were $15.8 billion in 2024. UHS was again recognized as one of the World’s Most Admired Companies by Fortune; listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 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 all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

Qualifications

Requirements

• LMSW, LPC, RN or LVN licensure in the state of Michigan required.
• 3-5 years direct clinical experience in a psychiatric or mental health treatment setting.

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.