Utilization Manager
About The Position
Southridge Behavioral Hospital is a beautiful and new state-of-the-art facility. As a joint venture with the Trinity Health System and Universal Health Services, we serve up to 96 adult and geriatric patients across four units. We believe that caring, dedicated and valued staff provide exceptional patient care. We are seeking high caliber applicants that will provide innovative and evidence-based care focused on our patient's individual needs, comfort and safety. Thank you for considering our Utilization Review Manager position as we continue our successful opening! More information about Southridge can be found online at: https://southridgebh.com/ Position Description: The Utilization Manager is responsible for directing and overseeing the Utilization Program for Inpatient and Outpatient services. 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. Southridge also has a focus on furthering your Education and Career Development: · Career ladder focus with opportunities to cross train, build skills and grow in leadership · Tuition reimbursement assistance program · Tuition savings through a partnership with Chamberlain University · In-house Psychiatric Nurse Residency Transition-to-Practice Orientation (20 CEUs) · Career development opportunities across UHS and our 300+ locations! · HealthStream online learning catalogue with plenty of free CEU courses Hours and Location: Full-Time, on site. We are located on the south side of Grand Rapids, near the intersection of M-6 and Byron Center Ave SW: 6291 Venture Hills Boulevard SW, Byron Center, MI 49315
Requirements
- Education: Bachelor's Degree required.
- Experience: A minimum of three years' experience in Utilization Management Required.
- License: State of Michigan licensure as LLP, LPC, LLPC LMSW, LLMSW, or Registered Nurse RN.
Responsibilities
- Directing and overseeing the Utilization Program for Inpatient and Outpatient services.
- 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.
Benefits
- Excellent Medical, Dental, Vision and Prescription Drug Plans
- Student Loan Repayment Program
- 401(k) and Roth 401(k) with Company Match
- Employee Stock Purchase Program
- Competitive Compensation & Paid Time Off
- Disability, Life, Pet Insurance and much more!
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What This Job Offers
Job Type
Full-time
Career Level
Manager
