Utilization Management Specialist - Behavioral Health

Henderson Hospital; Plymouth (IN); On-site; USD 60,000 - 78,000; Full time

Benefits offered by this job

Career development opportunities

Competitive compensation

Medical, dental, vision and Rx plan

401(K) with company match

Paid time off

Life insurance

Tuition reimbursement

Job summary

Michiana Behavioral Health (a UHS facility) is seeking a dedicated Utilization Management Specialist to manage calls, investigations, and clinical reviews with insurance carriers and external reviewers. The role supports discharge planning data collection and department operations.

Responsibilities include admissions processing, concurrent reviews, data maintenance, and participation in Treatment Team meetings to assist physicians as needed.

Qualifications

• Bachelor's degree in a related health field is preferred.
• 1–3 years of healthcare experience required.
• Certification in Utilization Management is a plus.

Responsibilities

• Handle calls, investigations, and clinical reviews with insurers and external reviewers.
• Assist discharge planning, data collection, and department support.
• Process admissions into the utilization management system and perform concurrent reviews.
• Attend Treatment Team meetings and support physicians as needed.

Education

Bachelor's degree in health-related field

Utilization Management certification (plus)

Job description

Michiana Behavioral Health (a UHS facility) is seeking a dedicated Utilization Management Specialist to manage calls, investigations, and clinical reviews with insurance carriers and external reviewers. The role supports discharge planning data collection and department operations.

Responsibilities include admissions processing, concurrent reviews, data maintenance, and participation in Treatment Team meetings to assist physicians as needed.