Cedar Creek Hospital Description The Manager of Utilization Review is responsible for managing and ... Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory ...
New
Cedar Creek Hospital Description The Manager of Utilization Review is responsible for managing and ... Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory ...
New
Cedar Creek Hospital Description The Manager of Utilization Review is responsible for managing and ... Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory ...
New
Cedar Creek Hospital Description The Manager of Utilization Review is responsible for managing and ... Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory ...
New
Cedar Creek Hospital Description The Manager of Utilization Review is responsible for managing and ... Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory ...
New
Cedar Creek Hospital Description The Manager of Utilization Review is responsible for managing and ... Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory ...
New
Cedar Creek Hospital Description The Manager of Utilization Review is responsible for managing and ... Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory ...
New
Cedar Creek Hospital Description The Manager of Utilization Review is responsible for managing and ... Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory ...
New
Cedar Creek Hospital Description The Manager of Utilization Review is responsible for managing and ... Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory ...
New
Troy, MI · On-site
... utilization review for the Medicaid and Medicare line of business. Primarily inpatient, skilled nurses facilities, rehab, behavioral health, and home healthcare Qualifications Hours for this Position:
Troy, MI · On-site
... utilization review for the Medicaid and Medicare line of business. Primarily inpatient, skilled nurses facilities, rehab, behavioral health, and home healthcare Qualifications Hours for this Position:
Day Shift Description: The Utilization Review (UR) Coordinator collaborates with a ... behavior. 25. Safeguard Protected Health Information (PHI) by strictly adhering to the "minimum ...
Day Shift Description: The Utilization Review (UR) Coordinator collaborates with a ... behavior. 25. Safeguard Protected Health Information (PHI) by strictly adhering to the "minimum ...
Educates medical staff/other health care professionals regarding utilization management and quality requirements. Makes recommendations and provides financial and utilization management (UM ...
Educates medical staff/other health care professionals regarding utilization management and quality requirements. Makes recommendations and provides financial and utilization management (UM ...
Educates medical staff/other health care professionals regarding utilization management and quality requirements. Makes recommendations and provides financial and utilization management (UM ...
Educates medical staff/other health care professionals regarding utilization management and quality requirements. Makes recommendations and provides financial and utilization management (UM ...
Port Huron, MI · On-site
... for behavioral health services utilization across the region respective to the Region 10 PIHP ... Review (UR) activities across the CMH and SUD provider networks, including case finding and case ...
Port Huron, MI · On-site
... for behavioral health services utilization across the region respective to the Region 10 PIHP ... Review (UR) activities across the CMH and SUD provider networks, including case finding and case ...
Day Shift Description: The Utilization Review (UR) Coordinator collaborates with a ... behavior. 25. Safeguard Protected Health Information (PHI) by strictly adhering to the "minimum ...
Day Shift Description: The Utilization Review (UR) Coordinator collaborates with a ... behavior. 25. Safeguard Protected Health Information (PHI) by strictly adhering to the "minimum ...
Troy, MI · On-site
... Behavioral Health and Long Term Care Providing utilization review for the Medicaid and Medicare ... line of business. Primarily inpatient, skilled nurses facilities, rehab, behavioral health, and ...
Troy, MI · On-site
... Behavioral Health and Long Term Care Providing utilization review for the Medicaid and Medicare ... line of business. Primarily inpatient, skilled nurses facilities, rehab, behavioral health, and ...
... behavioral health conditions, applying established clinical review criteria, guidelines and medical policies and contractual benefits as well as State and Federal Mandates. May perform clinical ...
... behavioral health conditions, applying established clinical review criteria, guidelines and medical policies and contractual benefits as well as State and Federal Mandates. May perform clinical ...
... behavioral health conditions, applying established clinical review criteria, guidelines and medical policies and contractual benefits as well as State and Federal Mandates. May perform clinical ...
... behavioral health conditions, applying established clinical review criteria, guidelines and medical policies and contractual benefits as well as State and Federal Mandates. May perform clinical ...
In this position you will be reviewing patient charts to determine if pre-elective surgical cases ... Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES ...
In this position you will be reviewing patient charts to determine if pre-elective surgical cases ... Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES ...
... behavioral health conditions, applying established clinical review criteria, guidelines and medical policies and contractual benefits as well as State and Federal Mandates. May perform clinical ...
... behavioral health conditions, applying established clinical review criteria, guidelines and medical policies and contractual benefits as well as State and Federal Mandates. May perform clinical ...
Behavioral Health Therapist Opportunities Master's Level Clinicians | Full-Time Position Summary A ... Support utilization review functions and ensure documentation supports medical necessity
Behavioral Health Therapist Opportunities Master's Level Clinicians | Full-Time Position Summary A ... Support utilization review functions and ensure documentation supports medical necessity
... Utilization Review tasks to ensure delivery of medically necessary services related to mental health, substance use disorder, and/or intellectual/developmentally disabled consumers. These services ...
... Utilization Review tasks to ensure delivery of medically necessary services related to mental health, substance use disorder, and/or intellectual/developmentally disabled consumers. These services ...
Detroit, MI · On-site
$59K - $81K/yr
Behavioral health sits alongside workforce, youth, and family services, so the work connects to a ... Run chart reviews, utilization review, and QA; lead audits and corrective action plans * Oversee ...
Quick apply
Detroit, MI · On-site
$59K - $81K/yr
Behavioral health sits alongside workforce, youth, and family services, so the work connects to a ... Run chart reviews, utilization review, and QA; lead audits and corrective action plans * Oversee ...
Troy, MI · On-site
$56K - $70K/yr
Job Summary The Utilization Management Clinical Analyst conducts prospective reviews of authorization requests to determine medical necessity and clinical appropriateness of behavioral health ...
Quick apply
Troy, MI · On-site
$56K - $70K/yr
Job Summary The Utilization Management Clinical Analyst conducts prospective reviews of authorization requests to determine medical necessity and clinical appropriateness of behavioral health ...
The scope of this position includes the review of clinical care and treatment plans for the SUD ... Maintain current knowledge of behavioral health standards of care and state and federal policy and ...
The scope of this position includes the review of clinical care and treatment plans for the SUD ... Maintain current knowledge of behavioral health standards of care and state and federal policy and ...
$18.65 - $22.42
2% of jobs
$22.42 - $26.19
9% of jobs
$28.77 is the 25th percentile. Wages below this are outliers.
$26.19 - $29.96
21% of jobs
The median wage is $33.01 / hr.
$29.96 - $33.73
23% of jobs
$33.73 - $37.50
13% of jobs
$40.44 is the 75th percentile. Wages above this are outliers.
$37.50 - $41.28
10% of jobs
$41.28 - $45.05
8% of jobs
$45.05 - $48.82
5% of jobs
$48.82 - $52.59
5% of jobs
$52.59 - $56.36
2% of jobs
$56.36 - $60.13
2% of jobs
$18
$36
$60
A Behavioral Health Utilization Review (UR) job involves assessing the medical necessity, appropriateness, and efficiency of mental health and substance use disorder treatments. UR professionals review clinical documentation, apply insurance guidelines, and collaborate with providers to ensure patients receive appropriate care while ensuring compliance with policies and regulations. They help manage healthcare costs by preventing unnecessary services while advocating for necessary treatments. This role is common in insurance companies, hospitals, and managed care organizations. Strong knowledge of behavioral health guidelines and communication skills are essential for success.
Behavioral Health Utilization Review professionals frequently work within multidisciplinary teams that may include clinicians, case managers, claims specialists, and provider relations staff. Collaboration involves regularly reviewing patient records, discussing complex cases, and communicating with both internal and external healthcare providers to ensure appropriate levels of care are authorized. This role often requires coordination across departments to resolve authorization issues, clarify clinical information, and meet regulatory requirements. Effective teamwork is key to maintaining efficient workflows, supporting patient outcomes, and ensuring compliance with payer policies.
To thrive in Behavioral Health Utilization Review, you typically need a clinical background in mental health or nursing, strong analytical abilities, and knowledge of insurance guidelines. Familiarity with medical coding, utilization management software (such as InterQual or MCG), and current behavioral health regulations is highly valued, and licensure (RN, LCSW, LPC, or similar) is often required. Attention to detail, critical thinking, effective communication, and strong organizational skills set top candidates apart. These competencies ensure accurate evaluation of medical necessity, efficient authorization processes, and collaboration with providers for optimal patient care.
The most popular types of Behavioral Health Utilization Review jobs in Michigan are:
For Behavioral Health Utilization Review jobs in Michigan, the most frequently searched job titles are:
The top searched job categories for Behavioral Health Utilization Review jobs in Michigan are:
Cities in Michigan with the most Behavioral Health Utilization Review job openings:

Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 3 days ago
New
6.9
Based on 254 frontline employees who took The Breakroom Quiz
456th of 891 rated healthcare providers
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
Description
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.
Benefits
Cedar Creek offers an extensive benefits program including 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 and much more.
About Universal Health Services
One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $15.8 billion in 2024. UHS was again recognized as one of the World’s Most Admired Companies by Fortune; listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points,
an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com
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.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
Qualifications: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.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
Education:UNAVAILABLEEmployment Type: FULL_TIMEGet the full story on Breakroom
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Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.
Health care and social assistance
10,000+ Employees
King of Prussia, PA, US