The Utilization Management Manager will be responsible for oversight of the hospital's concurrent review process, medical necessity audits to manage the length of stay, and denial and appeal ...
The Utilization Management Manager will be responsible for oversight of the hospital's concurrent review process, medical necessity audits to manage the length of stay, and denial and appeal ...
Utilization Specialist
Conway, AR · On-site
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Act as liaison between managed care organizations and the facility professional clinical staff.
Utilization Specialist
Conway, AR · On-site
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Act as liaison between managed care organizations and the facility professional clinical staff.
Utilization Specialist
Conway, AR · On-site
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Act as liaison between managed care organizations and the facility professional clinical staff.
Utilization Specialist
Conway, AR · On-site
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Act as liaison between managed care organizations and the facility professional clinical staff.
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Act as liaison between managed care organizations and the facility professional clinical staff.
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Act as liaison between managed care organizations and the facility professional clinical staff.
Underpinned by technology, data, analytics, AI, change management, talent and sustainability ... As aNetwork Performance/Utilization Manager, your primary responsibilitiesmay include: * Advise ...
Underpinned by technology, data, analytics, AI, change management, talent and sustainability ... As aNetwork Performance/Utilization Manager, your primary responsibilitiesmay include: * Advise ...
UR Specialist Supervisor
Little Rock, AR · On-site
Utilization Management Shift: Day Working Hours: Mon -Friday 0800-1700 Summary: Working/Supervisor position responsible for the leadership and supervision of the Utilization Review (UR) Specialists ...
UR Specialist Supervisor
Little Rock, AR · On-site
Utilization Management Shift: Day Working Hours: Mon -Friday 0800-1700 Summary: Working/Supervisor position responsible for the leadership and supervision of the Utilization Review (UR) Specialists ...
The role integrates and coordinates utilization management and denial prevention by focusing on identifying and removing unnecessary and redundant care, and promoting clinical best practice. Ensuring ...
Quick apply
The role integrates and coordinates utilization management and denial prevention by focusing on identifying and removing unnecessary and redundant care, and promoting clinical best practice. Ensuring ...
Utilization Review Nurse
$33.41 - $44.11/hr
Job Summary and Responsibilities The Utilization Review Nurse plays a crucial role in coordinating ... Preferred experience in Psych, discharge planning or utlization management role Where You'll Work ...
Utilization Review Nurse
$33.41 - $44.11/hr
Job Summary and Responsibilities The Utilization Review Nurse plays a crucial role in coordinating ... Preferred experience in Psych, discharge planning or utlization management role Where You'll Work ...
Utilization Review Nurse
$33.41 - $44.11/hr
Job Summary and Responsibilities The Utilization Review Nurse plays a crucial role in coordinating ... Preferred experience in Psych, discharge planning or utlization management role Where You'll Work ...
Utilization Review Nurse
$33.41 - $44.11/hr
Job Summary and Responsibilities The Utilization Review Nurse plays a crucial role in coordinating ... Preferred experience in Psych, discharge planning or utlization management role Where You'll Work ...
The Utilization Review Nurse plays a crucial role in coordinating patient care and ensuring ... management role
The Utilization Review Nurse plays a crucial role in coordinating patient care and ensuring ... management role
Utilization Review Nurse
Little Rock, AR · On-site
$33.41 - $44.11/hr
Job Summary and Responsibilities The Utilization Review Nurse plays a crucial role in coordinating ... management role
Utilization Review Nurse
Little Rock, AR · On-site
$33.41 - $44.11/hr
Job Summary and Responsibilities The Utilization Review Nurse plays a crucial role in coordinating ... management role
Case Management or Utilization Review Experience preferred. Works efficiently with others and demonstrates tact, discretion and diplomacy. Ability to operate technical equipment as acquired through ...
Case Management or Utilization Review Experience preferred. Works efficiently with others and demonstrates tact, discretion and diplomacy. Ability to operate technical equipment as acquired through ...
Case Management or Utilization Review Experience preferred. Works efficiently with others and demonstrates tact, discretion and diplomacy. Ability to operate technical equipment as acquired through ...
Case Management or Utilization Review Experience preferred. Works efficiently with others and demonstrates tact, discretion and diplomacy. Ability to operate technical equipment as acquired through ...
Case Management or Utilization Review Experience preferred. Works efficiently with others and demonstrates tact, discretion and diplomacy. Ability to operate technical equipment as acquired through ...
Case Management or Utilization Review Experience preferred. Works efficiently with others and demonstrates tact, discretion and diplomacy. Ability to operate technical equipment as acquired through ...
The UM Coordinator will achieve the goals of clinical, financial and utilization as set forth in the UM plan by effective management and communication. The UM Coordinator functions as the internal ...
The UM Coordinator will achieve the goals of clinical, financial and utilization as set forth in the UM plan by effective management and communication. The UM Coordinator functions as the internal ...
The UM Coordinator will achieve the goals of clinical, financial and utilization as set forth in the UM plan by effective management and communication. The UM Coordinator functions as the internal ...
The UM Coordinator will achieve the goals of clinical, financial and utilization as set forth in the UM plan by effective management and communication. The UM Coordinator functions as the internal ...
... appropriate utilization of healthcare services through timely and accurate medical necessity ... Partners with physicians, care management, revenue cycle, and billing teams to promote timely ...
... appropriate utilization of healthcare services through timely and accurate medical necessity ... Partners with physicians, care management, revenue cycle, and billing teams to promote timely ...
Utilization Review Associate Job Type: Full-time, 40 hours per week required (hourly POSITION SUMMARY Assist with planning and coordinating the duties of Utilization Review. This position is ...
Utilization Review Associate Job Type: Full-time, 40 hours per week required (hourly POSITION SUMMARY Assist with planning and coordinating the duties of Utilization Review. This position is ...
Utilization Review Associate
Augusta, AR · On-site
Utilization Review Associate Job Type: Full-time, 40 hours per week required (hourly POSITION SUMMARY Assist with planning and coordinating the duties of Utilization Review. This position is ...
Utilization Review Associate
Augusta, AR · On-site
Utilization Review Associate Job Type: Full-time, 40 hours per week required (hourly POSITION SUMMARY Assist with planning and coordinating the duties of Utilization Review. This position is ...
Physician / Addiction Medicine / Arkansas / Locum or Permanent / Medical Director- Behavioral Health
Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review ...
Physician / Addiction Medicine / Arkansas / Locum or Permanent / Medical Director- Behavioral Health
Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review ...
Utilization Management information
See Arkansas salary details
$32.2K - $41.6K
15% of jobs
$41.6K - $50.9K
8% of jobs
$52.2K is the 25th percentile. Wages below this are outliers.
$50.9K - $60.2K
15% of jobs
The median wage is $66.1K / yr.
$60.2K - $69.5K
20% of jobs
$69.5K - $78.9K
11% of jobs
$83.5K is the 75th percentile. Wages above this are outliers.
$78.9K - $88.2K
13% of jobs
$88.2K - $97.5K
5% of jobs
$97.5K - $106.8K
3% of jobs
$106.8K - $116.1K
4% of jobs
$116.1K - $125.5K
3% of jobs
$125.5K - $134.8K
3% of jobs
$32.2K
$74K
$134.8K
How much do utilization management jobs pay per year?
What are the key skills and qualifications needed to thrive in the Utilization Management position, and why are they important?
To thrive in Utilization Management, you need a strong understanding of healthcare procedures, insurance guidelines, and case review processes, usually backed by a clinical background such as RN, LPN, or allied health certification. Familiarity with medical management software, electronic health records (EHR), and utilization review tools like InterQual or MCG is often required. Excellent analytical thinking, attention to detail, and effective communication skills greatly enhance performance in this role. These competencies enable accurate assessment of medical necessity, ensure regulatory compliance, and support efficient, collaborative workflows between providers, insurers, and patients.
What is a Utilization Management job?
A Utilization Management (UM) job involves evaluating medical services to ensure they are necessary, cost-effective, and compliant with healthcare guidelines. Professionals in this field review patient care plans, authorize treatments, and collaborate with healthcare providers to optimize resource use. They work for insurance companies, hospitals, or healthcare organizations to balance quality care with cost control. Strong analytical skills and knowledge of medical policies are essential in this role.
What are the typical daily responsibilities of a Utilization Management professional?
As a Utilization Management professional, your day-to-day duties typically include reviewing patient admissions, authorizing ongoing treatment or procedures, assessing medical necessity, and ensuring services comply with insurance policies and industry guidelines. You will frequently collaborate with physicians, nurses, and insurance representatives to facilitate timely and appropriate care decisions while managing cost and quality. Documentation and communication play key roles as you help bridge the gap between clinical teams and payers. This role is often fast-paced, requires decisive action, and provides opportunities to have a direct impact on patient outcomes and organizational efficiency.
- Utilization Review Nurse
- No Experience Utilization Review Nurse
- Contract Utilization Review Nurse
- Remote Utilization Review Nurse
- Telephonic Nurse Case Manager
- Remote Chart Review Nurse
- Seasonal Remote Hedis Review Nurse
- Non Exempt No Experience Utilization Management Nurse
- Remote Utilization Management
- Remote Utilization Management Nurse
- Optum Utilization Review Nurse
- Utilization Review Nurse Compact License
- Remote International Utilization Review Nurse
- Psychiatric Utilization Review
- Aetna Utilization Review Nurse
- Weekend Utilization Review
- Chart Utilization Review
- Utilization Review 1099
- Fulltime Cigna Utilization Review Nurse
- Utilization Review Case Manager

Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 7 days ago
Universal Health Services rating
6.8
Based on 253 frontline employees who took The Breakroom Quiz
493rd of 890 rated healthcare providers
Job description
We are currently hiring a full time Utilization Management Manager for Springwoods Behavioral Health
The Utilization Management Manager develops, coordinates, and implements the Utilization Management Plan and Program of Springwoods Behavioral Health. The manager of Utilization Management oversees utilization management including, but not limited to utilization review, day-to-day function of the department, case documentation, payer relationships, regulatory requirements, staff management, and department administration. The UM Manager ensures that the development, implementation and evaluation of department policies and procedures are in compliance with all corporate, The Joint Commission, CMS, federal, state and local regulations. The Utilization Management Manager will be responsible for oversight of the hospital’s concurrent review process, medical necessity audits to manage the length of stay, and denial and appeal management. Supports the overall success of the hospital and promotes patient satisfaction, regulatory compliance and optimal reimbursement. This position contributes to the hospital’s philosophy, objectives, education, and quality improvement efforts, while providing guidance.
Springwoods Behavioral Health offers comprehensive benefits for the full time Utilization Management Manager position, such as:
- Challenging and rewarding work environment
- Competitive compensation
- Tuition assistance
- Career development opportunities across UHS and our 300+ locations!
- 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
- SoFi Student Loan Refinancing Program
Springwoods Behavioral Health, an 80-bed behavioral health facility located in Fayetteville, Arkansas, provides acute inpatient treatment for adolescent, adult, and specialty program for women. The hospital also offers outpatient treatment. Our six-acre campus is adjacent to a 123-acre Audubon Wildlife and Bird Sanctuary, which is held in perpetuity and cannot be developed from its natural state. This provides Springwoods with a peaceful setting for those embarked on the road to recovery.
Visit us online at: https://www.springwoodsbehavioral.com/
Qualifications
Education: Graduate of an accredited RN, BSN Program or a Master’s Degree in Social Work, Psychology, Counseling, or other Human Service fields.
Licensure: Registered Nurse license to practice in state of Arkansas or Current LCSW, LAC, LPC, LMSW in state of Arkansas.
Experience: Five to eight years of clinical experience in a psychiatric inpatient setting is preferred. Prior experience in the utilization and review function is highly preferred. Previous management experience in supervision or administration is preferred. The ability to organize tasks related to the accomplishment of hospital goals and objectives. Ability to work in a professional manner with physicians, mental health professionals, outside agencies, and support staff.
Additional Requirements: Ability to work with child, adolescents, and adult populations as demonstrated through educational accomplishment or work experience. A working knowledge of JCAHO patient rights standards, and any other applicable federal and state laws and regulations governing mental health care facilities relating to Patient’s rights and utilization review. Successful completion of CPR Certification, Verbal De-esculation and Handle with care witin the the first 30 days. Able to work overtime and flexible hours.
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 $13.4 billion in 2022. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 94,000 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
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.
Qualifications:Education: Graduate of an accredited RN, BSN Program or a Master’s Degree in Social Work, Psychology, Counseling, or other Human Service fields.
Licensure: Registered Nurse license to practice in state of Arkansas or Current LCSW, LAC, LPC, LMSW in state of Arkansas.
Experience: Five to eight years of clinical experience in a psychiatric inpatient setting is preferred. Prior experience in the utilization and review function is highly preferred. Previous management experience in supervision or administration is preferred. The ability to organize tasks related to the accomplishment of hospital goals and objectives. Ability to work in a professional manner with physicians, mental health professionals, outside agencies, and support staff.
Additional Requirements: Ability to work with child, adolescents, and adult populations as demonstrated through educational accomplishment or work experience. A working knowledge of JCAHO patient rights standards, and any other applicable federal and state laws and regulations governing mental health care facilities relating to Patient’s rights and utilization review. Successful completion of CPR Certification, Verbal De-esculation and Handle with care witin the the first 30 days. Able to work overtime and flexible hours.
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 $13.4 billion in 2022. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 94,000 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
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.
Education:UNAVAILABLEEmployment Type: FULL_TIMEWhat Universal Health Services employees say
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About Universal Health Services
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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.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
King of Prussia, PA, US