Utilization Manager

StoneCrest Center; Detroit (MI); On-site; USD 80,000 - 110,000; Full time

Benefits offered by this job

Health & Wellness

401(k) plan

Paid Time Off

Professional Growth

Job summary

StoneCrest Center in Detroit seeks an Utilization Manager to oversee utilization review activities, ensure compliant use of healthcare resources, and support optimal reimbursement outcomes. The role requires a Master’s degree in a clinical field or RN license, 3+ years of clinical experience with our patient population, and prior Utilization Mgmt exposure.

Adept collaboration with clinical teams is essential to drive high-quality care.

Qualifications

• Master’s degree in a clinical therapy field or mental health; or RN licensure.
• Three or more years of clinical experience with the facility’s population and in utilization management.

Responsibilities

• Provide leadership and oversight for utilization review activities.
• Ensure regulatory compliance and optimal reimbursement outcomes.
• Collaborate with clinical and administrative teams to optimize resource use.

Skills

Clinical experience

Utilization Mgmt exposure

Education

Master’s degree in Social Work / Mental Health field or Clinical Therapy field

Registered Nurse (RN) license

Job description

WHY JOIN STONE CREST?

We are Detroit's leading Mental Health and Psychiatric Hospital offering comprehensive inpatient treatment for adolescents, adults, and seniors. Our programming addresses behavioral and mental health concerns, as well as co-occurring substance use disorders (SUD). Join the StoneCrest Center team and make a difference every day.

• Health & Wellness – Take care of yourself and your loved ones with medical, dental, and vision plans.
• Retirement Ready – Secure your future with our 401(k) plan and company match—it’s never too early to start planning for tomorrow.
• Paid Time Off – Recharge with a PTO package that includes vacation, sick days, and extended sick leave.
• Professional Growth – Step into an industry-leading opportunity with growth potential like no other.

WHY JOIN STONE CREST?

We are Detroit's leading Mental Health and Psychiatric Hospital offering comprehensive inpatient treatment for adolescents, adults, and seniors. Our programming addresses behavioral and mental health concerns, as well as co-occurring substance use disorders (SUD). Join the StoneCrest Center team and make a difference every day.

Total Rewards For Our Utilization Manager Includes

• Health & Wellness – Take care of yourself and your loved ones with medical, dental, and vision plans.
• Retirement Ready – Secure your future with our 401(k) plan and company match—it’s never too early to start planning for tomorrow.
• Paid Time Off – Recharge with a PTO package that includes vacation, sick days, and extended sick leave.
• Professional Growth – Step into an industry-leading opportunity with growth potential like no other.

The Utilization Manager provides leadership and oversight for utilization review activities to ensure appropriate use of healthcare resources, regulatory compliance, and optimal reimbursement outcomes.

What We're Are Looking For

• Master’s degree in Social work, Behavioral or mental health, Nursing, or other related health field.
• Three or more years’ clinical experience with the population of the facility and previous experience in Utilization Mgmt.
• LICENSES/DESIGNATIONS/CERTIFICATIONS: If applicable, current licensure as an RN within the state where the facility provides services; or current Clinical Therapist license as required, within the state where the facility provides services.
• EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: Master’s degree in a Clinical Therapy Field, or Mental Health; or Registered Nurse. Three or more years’ Clinical experience with the population of the facility and previous experience in Utilization Mgmt.

We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.

STNCR