Utilization Review Manager

UHS$75K — $95K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

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

Responsibilities

  • Oversee utilization management processes including utilization review and case documentation.
  • Manage payer relationships and ensure regulatory compliance.
  • Lead staff management and administrative duties for the department.
  • Support overall facility success and promote patient satisfaction.
  • Aim for optimal reimbursement through effective utilization strategies.

Benefits

  • Tuition Assistance after 90 days of employment.
  • Career development opportunities within UHS and its subsidiaries.
  • Challenging and rewarding work environment.
  • Access to HealthStream online learning with free CEU courses.
  • Excellent medical, dental, vision, and prescription drug plans.
  • 401(K) with company match and discounted stock options.
  • Pet Insurance available.
Full 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

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

About UHS

UHS Careers

Joining UHS presents an unparalleled opportunity to become part of a leading team of healthcare professionals dedicated to making a difference. UHS, known for its commitment to innovation and leadership in the healthcare sector, offers a variety of job opportunities that cater to a diverse range of skills and experiences.

Explore Job Opportunities

UHS is actively hiring and offers a wide array of positions, from clinical roles to administrative support. Each position at UHS is designed to challenge team members while providing meaningful service to the community. Explore the current job openings and find a career path that suits professional aspirations and skills.

Internship Programs

UHS provides robust internship programs that offer hands-on experience in the healthcare industry. Internships are a cornerstone of professional development, giving participants a chance to deepen practical skills in a real-world setting. These programs are tailored to foster growth and prepare interns for a full-time position within the company.

Professional Growth and Development

UHS believes in nurturing the career growth of its team members through comprehensive professional development programs. These include leadership training, diversity training, and continuous education in the latest healthcare practices, ensuring that every team member has the opportunity to advance their career.

Benefits and Culture

Employment at UHS comes with competitive benefits designed to support the health, well-being, and financial security of each team member and their families. The company culture at UHS is built on a foundation of respect and inclusion, where diversity is celebrated and every voice is heard.

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UHS encourages a culture of innovation where team members are motivated to bring forward ideas that drive improvement and efficiency. Networking within the company is supported through various events and internal platforms, helping team members to connect, share insights, and collaborate on projects.

Applying for a Position

To apply for a position at UHS, candidates should prepare their resume to highlight relevant experience and skills. The interview process at UHS is thorough, aiming to assess not only the professional qualifications but also the alignment with the company’s values and culture. Interested candidates can visit the UHS Careers page to submit an application and learn more about the hiring process.

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