Utilization Review Manager

Calvary Healing Center; Phoenix (AZ); On-site; USD 70,000 - 95,000; Full time

Benefits offered by this job

Tuition Assistance

Career development opportunities

Health, Dental, Vision plans

401(K) with company match

Pet Insurance

Sign-on bonus

Job summary

Calvary Healing Center is seeking an UR Manager to oversee utilization management, case documentation, and payer relationships. The role focuses on regulatory compliance, staff leadership, and department administration to support quality care and optimal reimbursement.

The position is full-time at our Phoenix location, with responsibilities spanning program oversight and collaboration with external review organizations to ensure compliant, effective treatment planning.

Qualifications

• Bachelor’s degree in social work, mental health, or nursing from an accredited institution.
• Minimum three years of direct clinical experience in a psychiatric or mental health setting.
• Experience in treatment planning and communication with external review organizations or similar entities.
• Valid Arizona Level One Fingerprint Clearance Card.
• BLS & First Aid Certification, within 30 days of employment.
• Handle With Care Training, within 30 days of employment.

Responsibilities

• Oversee utilization management including review, documentation and payer relationships.
• Ensure regulatory compliance and support departmental administration.
• Manage staff and promote patient satisfaction and optimal reimbursement.
• Collaborate with facility leadership to meet UR goals and quality metrics.
• Maintain case documentation and coordination with external review entities.

Skills

Clinical communication

Team management

Regulatory compliance

Education

Bachelor’s degree in social work, mental health, or nursing

Tools

BLS & First Aid Certification

Handle With Care Training

Job description

Shift: Daytime

Sign on bonus: $1,500

For over 60 years, Calvary Healing Center has provided a full continuum of care, specializing in addiction treatment for adults across the Phoenix area and Nationwide. Calvary’s proven treatment programs address the practical, physical, and spiritual aspects of addiction for lasting recovery. Our flagship location in Phoenix offers on‑site detoxification and in‑patient treatment programs, a partial hospitalization program (PHP), and an intensive outpatient program (IOP). We also have satellite clinics offering Intensive Outpatient Programs in the West Valley region and Metropolitan Phoenix. Through our programs we offer many other holistic healing and treatment options complementing our services ranging from yoga, art workshops, and music.

Responsibilities

Summary of URM Duties: The UR Manager oversees utilization management including, but not limited to: utilization review, case documentation, payer relationships, regulatory requirements, staff management, and department administration. Supports the overall success of the facility and promotes patient satisfaction, regulatory compliance and optimal reimbursement.

Position: Full‑Time. Shift: Daytime. This position includes a $1,500 sign on bonus.

Benefits

• Tuition Assistance after 90 days of employment
• Career development opportunities within UHS and its 300+ Subsidiaries
• Challenging and rewarding work environment
• HealthStream online learning catalogue with plenty of free CEU courses
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match and discounted stock plan
• Pet Insurance

Qualifications

Education/Experience:

• Bachelor’s degree from an accredited college/university in social work, mental health, or nursing degree.
• A minimum of three (3) years direct clinical experience in a psychiatric or mental health setting.
• Experience in treatment planning and communication with external review organizations or comparable entities.
• Valid Arizona Level One Fingerprint Clearance Card
• Completion of BLS & First Aid Certification, within 30 days of employment.
• Completion of Handle With Care Training, within 30 days of employment

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.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job‑related email mentioning UHS or its subsidiaries, let us know by contacting us at https://uhs.alertline.com or 1-800-852-3449.

Contact

For more information about the URM position, please contact Loretta Gaspar, HR Director at [e-mail].