Director Optum Utilization Review Jobs (NOW HIRING)

River Oaks Hospital, located in metropolitan New Orleans, Louisiana, is a private psychiatric facility for adults, adolescents and children. Since 1970, River Oaks has established a tradition of excellence in the treatment of acute psychiatric illness, dual diagnosis, alcohol and drug detoxification, trauma based disorders, compulsive behaviors, and eating disorders, River Oaks has provided quality treatment to service individuals suffering from mental illness, and/or addictive disorders. Situated on a 14-acre campus, services are available at all levels of care (inpatient, day or partial hospitalization, outpatient, and intensive outpatient).

River Oaks Hospital is seeking a dynamic and talented UTILIZATION REVIEW DIRECTOR to direct and serve within the Utilization Management team. Evaluates patient medical records to determine severity of patient’s illness and the appropriateness of level of care. Serves as liaison for patients and facility with insurance companies.   Negotiates and advocates for patient length of stay and level of care. Coordinates utilization review activities with other departments to ensure reimbursement for services provided by the facility. Promotes patient care consistent with the philosophy and objectives of River Oaks Hospital. Performs duties in accordance with the ANA Standards of Practice for Psychiatric Mental Health Care, and facility mission, values, policies, and behavioral standards.

Please visit riveroakshospital.com to submit your application today!

MINIMUM QUALIFICATIONS REQUIRED:

• Experience: 3-5 years clinical experience with a psychiatric mental health population desired. 2-3 years experience in Utilization Review.  Management experience preferred.
• Education: Bachelors prepared healthcare professional (Nursing, Counseling, Psychology or Social Work). Masters preferred.
• Licensure/Certification: Registered Nurse (RN), Licensed Therapist or Social Worker (LPC/LMSW/LCSW) preferred.
• Working Knowledge: Possesses knowledge of psychiatric care, utilization review, insurance reimbursement procedures, DSM-V, etc. Current knowledge of regulating /accrediting agency guidelines. Basic knowledge of statistical analysis desired.
• Treat Everyone As a Guest
• Demonstrate Professionalism and Excellence in all things I do. 
• Practice Teamwork

This opportunity provides the following:

- Challenging and rewarding work environment

- Growth and development opportunities within UHS and its subsidiaries

- Competitive Compensation

- Excellent Medical, Dental, Vision and Prescription Drug Plan

- 401k plan with company match

- Generous Paid Time Off

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  during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World’s Most Admired Companies™ and in 2025, was listed in Forbes ranking of America’s Largest Public Companies.  

 Headquartered in King of Prussia, PA, UHS has approximately 101,500 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 in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit www.uhs.com. 

 From Fortune, ©2025, 2026 Fortune Media IP Limited. All rights reserved. Used under license. 

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.

MINIMUM QUALIFICATIONS REQUIRED:

• Experience: 3-5 years clinical experience with a psychiatric mental health population desired. 2-3 years experience in Utilization Review.  Management experience preferred.
• Education: Bachelors prepared healthcare professional (Nursing, Counseling, Psychology or Social Work). Masters preferred.
• Licensure/Certification: Registered Nurse (RN), Licensed Therapist or Social Worker (LPC/LMSW/LCSW) preferred.
• Working Knowledge: Possesses knowledge of psychiatric care, utilization review, insurance reimbursement procedures, DSM-V, etc. Current knowledge of regulating /accrediting agency guidelines. Basic knowledge of statistical analysis desired.
• Treat Everyone As a Guest
• Demonstrate Professionalism and Excellence in all things I do. 
• Practice Teamwork

This opportunity provides the following:

- Challenging and rewarding work environment

- Growth and development opportunities within UHS and its subsidiaries

- Competitive Compensation

- Excellent Medical, Dental, Vision and Prescription Drug Plan

- 401k plan with company match

- Generous Paid Time Off

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  during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World’s Most Admired Companies™ and in 2025, was listed in Forbes ranking of America’s Largest Public Companies.  

 Headquartered in King of Prussia, PA, UHS has approximately 101,500 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 in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit www.uhs.com. 

 From Fortune, ©2025, 2026 Fortune Media IP Limited. All rights reserved. Used under license. 

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.