Job Summary

• The Utilization Review Manager leads the department to ensure clinical appropriateness of admissions, continued stays, and discharge planning according to approved criteria.
• This role requires managing a team to handle insurance verifications, resolve payment issues, and coordinate appeals for denied claims effectively.
• Candidates must have at least two years of clinical experience in substance abuse and two years in medical or psychiatric utilization management.

Matching Summary

Salary

Competitive salary commensurate with experience; Comprehensive benefit plan offered

Skills & Requirements

Key Requirements

• High School Diploma required; Bachelor's preferred
• Current LPN, RN, or clinical license required
• Two years clinical experience in substance abuse
• Two years medical/psychiatric utilization management experience
• One year supervisory experience in clinical setting
• CPR and de-escalation certification required

Work Rights