As the Director of Utilization Review , you will play a critical leadership role in ensuring the ... Collaborates with physicians, therapist and nursing staff to provide optimal review based on ...
As the Director of Utilization Review , you will play a critical leadership role in ensuring the ... Collaborates with physicians, therapist and nursing staff to provide optimal review based on ...
As the Director of Utilization Review , you will play a critical leadership role in ensuring the ... Collaborates with physicians, therapist and nursing staff to provide optimal review based on ...
As the Director of Utilization Review , you will play a critical leadership role in ensuring the ... Collaborates with physicians, therapist and nursing staff to provide optimal review based on ...
As the Director of Utilization Review , you will play a critical leadership role in ensuring the ... Collaborates with physicians, therapist and nursing staff to provide optimal review based on ...
As the Director of Utilization Review , you will play a critical leadership role in ensuring the ... Collaborates with physicians, therapist and nursing staff to provide optimal review based on ...
Job Summary Utilization Review Analyst conducts prospective, concurrent, and retrospective reviews ... Licensed Marriage and Family Therapist (LMFT) * Registered Nurse (RN) Must maintain Child ...
Job Summary Utilization Review Analyst conducts prospective, concurrent, and retrospective reviews ... Licensed Marriage and Family Therapist (LMFT) * Registered Nurse (RN) Must maintain Child ...
Job Summary The Supervisor of Utilization Review (UR) oversees the development, implementation, and ... Licensed Marriage and Family Therapist (LMFT) * Registered Nurse (RN) Must maintain Child ...
Job Summary The Supervisor of Utilization Review (UR) oversees the development, implementation, and ... Licensed Marriage and Family Therapist (LMFT) * Registered Nurse (RN) Must maintain Child ...
... therapies including yoga, mindfulness, aromatherapy, music therapy and nutrition. As part of our ... Cedar Creek Hospital Description The Manager of Utilization Review is responsible for managing and ...
... therapies including yoga, mindfulness, aromatherapy, music therapy and nutrition. As part of our ... Cedar Creek Hospital Description The Manager of Utilization Review is responsible for managing and ...
Manager of Utilization Review
Saint Johns, MI · On-site
$90 - $120/hr
... provides the latest therapies including yoga, mindfulness, aromatherapy, music therapy and ... Cedar Creek Hospital Description The Manager of Utilization Review is responsible for managing and ...
Manager of Utilization Review
Saint Johns, MI · On-site
$90 - $120/hr
... provides the latest therapies including yoga, mindfulness, aromatherapy, music therapy and ... Cedar Creek Hospital Description The Manager of Utilization Review is responsible for managing and ...
... therapies including yoga, mindfulness, aromatherapy, music therapy and nutrition. As part of our ... Cedar Creek Hospital Description The Manager of Utilization Review is responsible for managing and ...
... therapies including yoga, mindfulness, aromatherapy, music therapy and nutrition. As part of our ... Cedar Creek Hospital Description The Manager of Utilization Review is responsible for managing and ...
... therapies including yoga, mindfulness, aromatherapy, music therapy and nutrition. As part of our ... Cedar Creek Hospital Description The Manager of Utilization Review is responsible for managing and ...
... therapies including yoga, mindfulness, aromatherapy, music therapy and nutrition. As part of our ... Cedar Creek Hospital Description The Manager of Utilization Review is responsible for managing and ...
... therapies including yoga, mindfulness, aromatherapy, music therapy and nutrition. As part of our ... Cedar Creek Hospital Description The Manager of Utilization Review is responsible for managing and ...
... therapies including yoga, mindfulness, aromatherapy, music therapy and nutrition. As part of our ... Cedar Creek Hospital Description The Manager of Utilization Review is responsible for managing and ...
... therapies including yoga, mindfulness, aromatherapy, music therapy and nutrition. As part of our ... Cedar Creek Hospital Description The Manager of Utilization Review is responsible for managing and ...
... therapies including yoga, mindfulness, aromatherapy, music therapy and nutrition. As part of our ... Cedar Creek Hospital Description The Manager of Utilization Review is responsible for managing and ...
Utilization Management/Utilization Review Tasks An employee in this class, under general direction ... Family Therapy or closely related field AND be fully licensed by the State of Michigan in their ...
Utilization Management/Utilization Review Tasks An employee in this class, under general direction ... Family Therapy or closely related field AND be fully licensed by the State of Michigan in their ...
... Therapist or Licensed Occupational Therapist required. * Extensive experience in post-acute ... utilization review, etc. * Demonstrated clinical knowledge and experience relative to patient care ...
... Therapist or Licensed Occupational Therapist required. * Extensive experience in post-acute ... utilization review, etc. * Demonstrated clinical knowledge and experience relative to patient care ...
... Therapist or Licensed Occupational Therapist required. * Extensive experience in post-acute ... utilization review, etc. * Demonstrated clinical knowledge and experience relative to patient care ...
New
... Therapist or Licensed Occupational Therapist required. * Extensive experience in post-acute ... utilization review, etc. * Demonstrated clinical knowledge and experience relative to patient care ...
New
The scope of this position includes the review of clinical care and treatment plans for the SUD ... Therapist (LMFT) Registered Nurse (RN) CADC, CAADC, or development plan for the CADC/CAADC ...
The scope of this position includes the review of clinical care and treatment plans for the SUD ... Therapist (LMFT) Registered Nurse (RN) CADC, CAADC, or development plan for the CADC/CAADC ...
... , etc.). * A minimum of 2 years of post-graduate related experience in psychiatric or substance abuse treatment required. Hospital utilization review/utilization management experience preferred.
New
... , etc.). * A minimum of 2 years of post-graduate related experience in psychiatric or substance abuse treatment required. Hospital utilization review/utilization management experience preferred.
New
... , etc.). * A minimum of 2 years of post-graduate related experience in psychiatric or substance abuse treatment required. Hospital utilization review/utilization management experience preferred.
New
... , etc.). * A minimum of 2 years of post-graduate related experience in psychiatric or substance abuse treatment required. Hospital utilization review/utilization management experience preferred.
New
... , etc.). * A minimum of 2 years of post-graduate related experience in psychiatric or substance abuse treatment required. Hospital utilization review/utilization management experience preferred.
New
... , etc.). * A minimum of 2 years of post-graduate related experience in psychiatric or substance abuse treatment required. Hospital utilization review/utilization management experience preferred.
New
The scope of this position includes the review of clinical care and treatment plans for the SUD ... Licensed Marriage and Family Therapist (LMFT) * Registered Nurse (RN) * CADC, CAADC, or development ...
The scope of this position includes the review of clinical care and treatment plans for the SUD ... Licensed Marriage and Family Therapist (LMFT) * Registered Nurse (RN) * CADC, CAADC, or development ...
Job Summary The Utilization Management Clinical Analyst conducts prospective reviews of ... Licensed Marriage and Family Therapist (LMFT) * Registered Nurse (RN) * Must maintain Child ...
Job Summary The Utilization Management Clinical Analyst conducts prospective reviews of ... Licensed Marriage and Family Therapist (LMFT) * Registered Nurse (RN) * Must maintain Child ...
Therapy Utilization Review information
See Michigan salary details
$13.62 - $16.63
14% of jobs
$19.12 is the 25th percentile. Wages below this are outliers.
$16.63 - $19.64
14% of jobs
$19.64 - $22.65
17% of jobs
The median wage is $24.30 / hr.
$22.65 - $25.66
11% of jobs
$25.66 - $28.67
8% of jobs
$28.67 - $31.68
6% of jobs
$33.93 is the 75th percentile. Wages above this are outliers.
$31.68 - $34.68
7% of jobs
$34.68 - $37.69
7% of jobs
$37.69 - $40.70
5% of jobs
$40.70 - $43.71
5% of jobs
$43.71 - $46.72
5% of jobs
$13
$27
$46
How much do therapy utilization review jobs pay per hour?
As of Aug 30, 2026, the average hourly pay for therapy utilization review in Michigan is $27.84, according to ZipRecruiter salary data. Most workers in this role earn between $19.47 and $35.38 per hour, depending on experience, location, and employer.
What is therapy utilization review?
Therapy Utilization Review is a process used by healthcare organizations and insurance companies to evaluate the necessity, efficiency, and appropriateness of therapy services being provided to patients. This review ensures that treatments such as physical, occupational, or speech therapy are medically necessary and align with established guidelines. The goal is to optimize patient care while managing costs and preventing overuse or misuse of therapy services. Professionals in this role review patient records, treatment plans, and progress notes, often collaborating with therapists and other healthcare providers.
What are the key skills and qualifications needed to thrive as a therapy utilization review specialist?
To thrive as a Therapy Utilization Review specialist, you need a solid background in clinical therapy practice (such as physical, occupational, or speech therapy), often supported by licensure and clinical experience. Familiarity with medical review software, electronic health records (EHRs), and utilization management systems is typically required, along with knowledge of insurance guidelines and regulatory standards. Strong analytical thinking, attention to detail, and clear communication skills help professionals effectively assess treatment plans and collaborate with both providers and payers. These skills and qualities are essential for ensuring that patients receive medically necessary, cost-effective therapy while maintaining compliance with regulations.
What are some common challenges faced by professionals in therapy utilization review, and how can they be managed?
One of the main challenges in Therapy Utilization Review is balancing the clinical needs of patients with insurance guidelines and organizational policies. Professionals often need to make difficult decisions about treatment approvals while communicating effectively with both therapists and insurance providers. Staying current on clinical guidelines, maintaining strong documentation skills, and developing firm but empathetic communication abilities can help manage these challenges. Collaboration with interdisciplinary teams is also essential to ensure patients receive appropriate care while meeting regulatory requirements.
What is the difference between Therapy Utilization Review vs Speech-Language Pathologist?
| Aspect | Therapy Utilization Review | Speech-Language Pathologist |
|---|---|---|
| Credentials | Typically requires healthcare or insurance-related certifications | Requires a master's degree in speech-language pathology and state licensure |
| Work Environment | Insurance companies, healthcare organizations, or utilization review departments | Hospitals, clinics, schools, or private practice |
| Industry Usage | Focuses on evaluating therapy necessity and coverage | Provides direct therapy services to patients with speech or language disorders |
While Therapy Utilization Review involves assessing the necessity of therapy services for insurance coverage, Speech-Language Pathologists provide direct patient care. Both roles require healthcare knowledge, but they differ in focus: one is review-based, the other is clinical service delivery.
What are popular job titles related to Therapy Utilization Review jobs in Michigan?
For Therapy Utilization Review jobs in Michigan, the most frequently searched job titles are:
- Telecommute Hedis Review Nurse
- Optum Clinical Claim Review Nurse
- Per Diem Chart Review Nurse
- Remote Chart Review Nurse
- Therapist Utilization Review Remote
- Flex Schedule Remote Utilization Review Nurse
- Weekend Physician Advisor Utilization Review
- Seasonal Remote Hedis Review Nurse
- Full Time Physician Advisor Utilization Review
- Evening Utilization Review Nurse
What job categories do people searching Therapy Utilization Review jobs in Michigan look for?
The top searched job categories for Therapy Utilization Review jobs in Michigan are:
- Cigna Utilization Review Nurse
- Lpn Utilization Review
- Full Time Navihealth Utilization Review
- Remote Aetna Utilization Review Nurse
- Full Time Cigna Utilization Review Nurse
- Registered Nurse Case Review
- Remote Navihealth Utilization Review
- Remote Hca Utilization Review
- Case Manager Utilization Review Nurse
- Remote Optum Utilization Review
Acadia Healthcare rating
6.2
Based on 191 frontline employees who took The Breakroom Quiz
697th of 895 rated healthcare providers
Job description
Join StoneCrest Center, a 182-bed behavioral health hospital in Detroit, Michigan, dedicated to providing compassionate, evidence-based psychiatric care for adolescents, adults, and seniors. StoneCrest offers comprehensive inpatient treatment for a wide range of mental health and co-occurring substance use disorders, with specialized programming for adolescents, older adults, and individuals requiring acute crisis stabilization. The hospital's multidisciplinary approach includes psychiatry, nursing, case management, family therapy, recreational therapy, and other therapeutic services designed to help patients achieve lasting recovery and improved quality of life.
As the Director of Utilization Review, you will play a critical leadership role in ensuring the delivery of high-quality, medically necessary behavioral healthcare while optimizing patient outcomes and reimbursement processes. This is an opportunity to join a mission-driven organization where clinical excellence, collaboration, and patient-centered care are at the heart of everything we do.
PURPOSE STATEMENT:
Direct and manage the day-to-day operations of the Utilization Review department.
ESSENTIAL FUNCTIONS:
- Monitor utilization of services and optimize reimbursement for the facility while maximizing use of the patient’s provider benefits for their needs.
- Conducts and oversees concurrent and retrospective reviews for all patients.
- Act as a liaison between Medicaid reviewers and the staff completing required paperwork to facilitate the Utilization Review process.
- Collaborates with physicians, therapist and nursing staff to provide optimal review based on patient needs.
- Collaborates with ancillary services in order to prevent delays in services.
- Evaluates the UM program for compliance with regulations, policies and procedures.
- May review charts and make necessary recommendations to the physicians, regarding utilization review and specific managed care issues.
- Provide staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department operation.
OTHER FUNCTIONS:
- Perform other functions and tasks as assigned.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
- Bachelor's Degree in nursing or other clinical field required. Master's Degree in clinical field preferred.
- Six or more year's clinical experience with the population of the facility preferred.
- Four or more years’ experience in utilization management required.
- Three or more years of supervisoryexperience required.
LICENSES/DESIGNATIONS/CERTIFICATIONS:
- If applicable, current licensure as an LPN or RN within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services.
We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.
AHCORP
#LI-SH1
#LI-SCC
What Acadia Healthcare employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Acadia Healthcare
Sourced by ZipRecruiter
Acadia Healthcare is a leading provider in the healthcare and hospital industry, based in Franklin, Tennessee, United States. The company is recognised for its commitment to creating a behavioural health network that provides accessible, high-quality treatment options for individuals suffering from mental health issues, addiction, eating disorders, and PTSD. Acadia Healthcare was founded in 2005, with the mission to create a world-class organization that sets the standard of excellence in the treatment of specialty behavioural health and addiction disorders.
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Franklin, TN, US
Year founded
2005