Utilization Review Manager
About The Position
Forest View Hospital, located just seven miles southeast of downtown Grand Rapids, Michigan, is a private 108 bed psychiatric facility that serves children, adolescents and adults. We are licensed by the State of Michigan, fully accredited by The Joint Commission and we bring more than 45 years of experience to the evaluation, diagnosis and treatment of a wide range of behavioral health problems. As a part of our continued success and growth, we are seeking qualified applicants for a Utilization Review Manager. 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. Forest View 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.
Requirements
- Bachelor's Degree required.
- A minimum of three years’ experience in Utilization Management Required.
- 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.
- Overseeing the response to requests for services.
- Interfacing 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!
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Manager
