Utilization Review Manager - Onsite Healthcare Leadership

Lifepoint Health®; Lafayette (IN); On-site; USD 75,000 - 110,000; Full time

Benefits offered by this job

Health, Dental, Vision

401K Benefits

Competitive Paid Time Off

Employee Assistance Program

Tuition Reimbursement

Job summary

Lifepoint Health seeks a dedicated Utilization Review Manager for Sycamore Springs in Lafayette, IN. This onsite role ensures timely precertifications and appeals, reports to the Director of Finance, and leads the UR team in a psychiatric care setting.

The ideal candidate holds a Bachelor's degree, with leadership experience and a current clinical license preferred; CPI and HWC certifications are required.

Qualifications

• Education: Bachelor's degree required; Master's preferred.
• Experience: prior utilization review in psychiatric healthcare preferred; leadership experience required.
• License: current unencumbered clinical license strongly preferred.
• Certifications: CPI and HWC certifications required.

Responsibilities

• Oversees the UR department and monitors staff performance.
• Ensures all pre-certifications are completed for inpatient and outpatient services.
• Ensures all re-certifications are completed and reports status to Finance Director.
• Participates in treatment teams to gather coverage information for communications with agencies.
• Collaborates with clinical services to ensure documentation requirements are met.
• Interfaces with managed care organizations and external payers.

Skills

Leadership

Communication

Education

Bachelor's degree

Master's degree

Tools

CPI certification

HWC certification

Job description

Lifepoint Health seeks a dedicated Utilization Review Manager for Sycamore Springs in Lafayette, IN. This onsite role ensures timely precertifications and appeals, reports to the Director of Finance, and leads the UR team in a psychiatric care setting.

The ideal candidate holds a Bachelor's degree, with leadership experience and a current clinical license preferred; CPI and HWC certifications are required.