Utilization Review Manager

Universal Health Services; Phoenix (AZ); On-site; USD 85,000 - 100,000; Full time

Benefits offered by this job

Tuition Assistance

Career development opportunities

Competitive Compensation

Excellent Medical, Dental, Vision plans

401(K) with company match

Job summary

Universal Health Services is seeking a Utilization Review Manager (URM) in Phoenix, Arizona. The URM oversees utilization management, including utilization review and case documentation, to ensure the success of the facility and patient satisfaction.

Qualified candidates will possess a Bachelor's degree in social work, mental health, or nursing, along with at least three years of clinical experience. The role offers competitive compensation, healthcare benefits, tuition assistance, and career development opportunities.

Qualifications

• Three years of direct clinical experience in a psychiatric or mental health setting.
• Experience communicating with external review organizations.
• Valid Arizona Level One Fingerprint Clearance Card.

Responsibilities

• Oversee utilization management including utilization review and case documentation.
• Manage staff and department administration.
• Promote patient satisfaction and regulatory compliance.

Skills

Clinical experience

Treatment planning

Communication

Regulatory compliance

Education

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

Job description

Responsibilities

Utilization Review Manager (URM)

Position: Full-Time

Shift: Daytime

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 onsite detoxification and residential treatment programs, a partial hospitalization program (PHP), and an intensive outpatient program (IOP). We also have a satellite clinic offering Intensive Outpatient Programs in the West Valley region. Through our programs we offer many other holistic healing and treatment options complementing our services ranging from yoga, art workshops, and music.

Our website: https://calvarycenter.com/

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.

Beneftis for the URM include:

• 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

If you would like to learn more about the URM position, please contact Loretta Gaspar, HR Director at: [e-mail]

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 entites.
• 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.