Manager - Utilization Review

UHS • Bartlett, TN

4d

About The Position

The Manager - Utilization Review oversees utilization management, including utilization review, case documentation, payer relationships, regulatory requirements, staff management, and department administration. The role supports the hospital’s overall success and promotes patient satisfaction, regulatory compliance, and optimal reimbursement.

Lakeside Behavioral Health System is a 365-bed psychiatric hospital serving children, adolescents, young adults, adults, and seniors in the Memphis and Mid-South region. Its programs address mental health and addictive disease disorders.

Requirements

• A master's degree in Nursing, Counseling, Psychology, or Social Work is required.
• At least 5–8 years of clinical experience in an acute psychiatric setting as a treatment team member, or 3–5 years of utilization management experience involving case management and the utilization management process, including concurrent reviews.
• RN licensure is required if the candidate is an RN.

Nice To Haves

• Previous continuum of care experience is highly preferred.
• Knowledge of case management, age-specific growth and development, crisis management, and behavior management is preferred.

Responsibilities

• Oversee utilization review and broader utilization management activities.
• Oversee case documentation and payer relationships.
• Ensure regulatory requirements are addressed.
• Manage staff and department administration.
• Support hospital success, patient satisfaction, regulatory compliance, and optimal reimbursement.

Benefits

• Competitive compensation
• Paid time off
• Medical, dental, vision, and prescription drug plans
• 401(k) with company match
• Discounted stock plan
• SoFi Student Loan Refinancing Program
• Tuition savings for nursing education through Chamberlain University
• Pet insurance
• Career development opportunities

What This Job Offers

• Job Type: Full-time
• Career Level: Manager