Utilization Review Manager
About The Position
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. 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.
Requirements
- 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 entities.
- 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
Responsibilities
- 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.
Benefits
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
