Manager of Utilization Review

UHSSt. Johns, MI

About The Position

Cedar Creek Hospital of Michigan is a beautiful and state of the art 72-bed facility. Cedar Creek provides evidence-based treatment to adolescents and adults struggling with mental health issues. Cedar Creek Hospital invests in our patients by offering an integrated medicine approach that provides the latest therapies including yoga, mindfulness, aromatherapy, music therapy and nutrition. As part of our success and innovation in the field we are seeking qualified applicants for a Manager of Utilization Review position. Learn more about Cedar Creek Hospital online at: Cedar Creek Hospital The Manager of Utilization Review is responsible for managing and overseeing the Utilization Review Program for Inpatient and Outpatient services, including management of the department’s employees. This includes the implementation of case management scenarios, consulting with all services to ensure the provision of an effective treatment plan for all patients, oversees the response to requests for services and interfaces with managed care organizations, external reviewers, and other payors.

Requirements

  • LMSW, LPC, RN or LVN licensure in the state of Michigan required.
  • 3-5 years direct clinical experience in a psychiatric or mental health treatment setting.

Responsibilities

  • Managing and overseeing the Utilization Review Program for Inpatient and Outpatient services.
  • Management of the department’s employees.
  • Implementation of case management scenarios.
  • Consulting with all services to ensure the provision of an effective treatment plan for all patients.
  • Overseeing the response to requests for services.
  • Interfacing with managed care organizations, external reviewers, and other payors.

Benefits

  • Medical (BCBS)
  • Dental (Delta)
  • Vision (VSP)
  • 401k with a company match
  • Student Loan Repayment of up to $200 per month
  • Paid Time Off
  • Disability options
  • Life insurance
  • Pet insurance
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