Utilization Review Manager

Forest View Hospital; Grand Rapids (MI); On-site; USD 75,000 - 110,000; Full time

Benefits offered by this job

Medical, Dental, Vision plans

Student Loan Repayment

401(k) and Roth 401(k) with company/

Employee Stock Purchase Program

Competitive compensation & Paid Time "

Disability, Life, Pet Insurance

Job summary

Forest View Hospital in Michigan is seeking a Utilization Review Manager to direct the Utilization Program for inpatient and outpatient services. You will implement case management scenarios, coordinate with services to ensure effective treatment plans, and interface with managed care organizations and payors.

The role requires a Bachelor's degree, at least three years in Utilization Management, and Michigan licensure ( LLP/LPC/LLP LMSW/LLMSW or RN ).

Qualifications

• Education: Bachelor's Degree required.
• Experience: minimum three years in Utilization Management.
• License: Michigan licensure as LLP, LPC, LLPC LMSW, LLMSW, or RN.

Responsibilities

• Direct and oversee the Utilization Program for Inpatient and Outpatient services.
• Implement case management scenarios and coordinate with services for effective treatment plans.
• Interface with managed care organizations, external reviewers, and payors.

Skills

Utilization Management

Education

Bachelor's Degree

Job description

• Excellent Medical, Dental, Vision and Prescription Drug Plans
• Student Loan Repayment Program
• 401(k) and Roth 401(k) with Company Match
• Employee Stock Purchase Program
• Competitive Compensation & Paid Time Off
• Disability, Life, Pet Insurance and much more!
  

Responsibilities
Benefit Highlights:

• Excellent Medical, Dental, Vision and Prescription Drug Plans
• Student Loan Repayment Program
• 401(k) and Roth 401(k) with Company Match
• Employee Stock Purchase Program
• Competitive Compensation & Paid Time Off
• Disability, Life, Pet Insurance and much more!
  

More information is available on our Benefits Guest Website: benefits.uhsguest.com

Forest View Hospital, located just seven miles southeast of downtown Grand Rapids, Michigan, is a private 108 bed psychiatric facility that serves children, adolescents and adults. We are licensed by the State of Michigan, fully accredited by The Joint Commission and we bring more than 45 years of experience to the evaluation, diagnosis and treatment of a wide range of behavioral health problems. As a part of our continued success and growth, we are seeking qualified applicants for a Utilization Review Manager.

Position Description
The Utilization Manager is responsible for directing and overseeing the Utilization Program for Inpatient and Outpatient services. 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.

More information is available on our Benefits Guest Website: benefits.uhsguest.com

Forest View also has a focus on furthering your Education and Career Development:

• Career ladder focus with opportunities to cross train, build skills and grow in leadership
• Tuition reimbursement assistance program
• Tuition savings through a partnership with Chamberlain University
• In-house Psychiatric Nurse Residency Transition-to-Practice Orientation (20 CEUs)
• Career development opportunities across UHS and our 300+ locations!
• HealthStream online learning catalogue with plenty of free CEU courses
  

Qualifications

Job Requirements:
Education: Bachelor's Degree required.

Experience: A minimum of three years’ experience in Utilization Management Required.

License: State of Michigan licensure as LLP, LPC, LLPC LMSW, LLMSW, or Registered Nurse RN.

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. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. 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

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.

We believe that diversity and inclusion among our teammates is critical to our success.

Avoid and Report Recruitment Scams
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.