Utilization Management Specialist

Aiken Regional Medical Centers; Plymouth (IN); On-site; USD 55,000 - 85,000; Full time

Benefits offered by this job

Challenging environment

Career development

Competitive compensation

Medical/Dental/Vision plan

401(k) with match

Paid Time Off

Life Insurance

Tuition reimbursement

Job summary

Michiana Behavioral Health, a UHS facility, is seeking an Utilization Management Specialist to manage calls, perform investigations, and conduct clinical reviews with insurers and external reviewers. The role supports discharge planning and data collection, contributing to efficient department operations.

You will process admissions, perform concurrent reviews, maintain statistics, attend Treatment Team meetings, and assist physicians as needed, contributing to high-quality, compliant patient

Qualifications

• One to three years of healthcare experience required.
• Certification in Utilization Management a plus.
• Knowledge of regulatory and insurance required.
• Excellent documentation skills.
• Advocate for patient's rights and treatment.

Responsibilities

• Process admissions into the utilization management system.
• Conduct admission and concurrent reviews.
• Maintain statistics and data as requested/required.
• Attend Treatment Team meetings.
• Assists physicians with calls as needed.

Skills

Healthcare experience

Regulatory knowledge

Documentation skills

Patient advocacy

Utilization Management knowledge

Education

Bachelor's degree in a related field

Job description

Responsibilities

Utilization Management Specialist - Full-time

Michiana Behavioral Health (a UHS facility)

Michiana Behavioral Health offers respectful, dignified care to adults, children and teens experiencing emotional crisis and mental distress. We take a holistic approach to treatment, providing thoughtful and ethical care to those struggling with depression, anxiety, substance abuse and more. We’re available 24/7 to provide a confidential, no-cost mental health assessment.

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

The Utilization Management Specialist is responsible for calls, investigative work, and clinical reviews with the insurance companies, managed care entities, and external reviewers. This position also provides assistance to discharge planning statistical collection and general support to department.

Duties include but not limited to:

• Process admissions into the utilization management system.
• Conduct admission and concurrent reviews.
• Maintain statistics and data as requested/required.
• Attend Treatment Team meetings.
• Assists physicians with calls as needed.

Benefit Highlights

• 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
• Free Basic Life Insurance
• Tuition Reimbursement

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.

Qualifications

• Bachelors degree in a related field a plus.
• One to three years of healthcare experience required.
• Certification in Utilization Management a plus.
• Knowledge of regulatory and insurance required.
• Excellent documentation skills.
• Advocate for patient's rights and treatment.

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.

Utilization Management Specialist - Full-time

Michiana Behavioral Health (a UHS facility)

Michiana Behavioral Health offers respectful, dignified care to adults, children and teens experiencing emotional crisis and mental distress. We take a holistic approach to treatment, providing thoughtful and ethical care to those struggling with depression, anxiety, substance abuse and more. We’re available 24/7 to provide a confidential, no-cost mental health assessment.

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

The Utilization Management Specialist is responsible for calls, investigative work, and clinical reviews with the insurance companies, managed care entities, and external reviewers. This position also provides assistance to discharge planning statistical collection and general support to department.

Duties include but not limited to:

• Process admissions into the utilization management system.
• Conduct admission and concurrent reviews.
• Maintain statistics and data as requested/required.
• Attend Treatment Team meetings.
• Assists physicians with calls as needed.

Benefit Highlights

• 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
• Free Basic Life Insurance
• Tuition Reimbursement

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.

Qualifications

• Bachelors degree in a related field a plus.
• One to three years of healthcare experience required.
• Certification in Utilization Management a plus.
• Knowledge of regulatory and insurance required.
• Excellent documentation skills.
• Advocate for patient's rights and treatment.

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.