As a part of our continued success and growth, we are seeking qualified applicants for a Utilization Review Manager. Position Description: The Utilization Manager is responsible for directing and ...
As a part of our continued success and growth, we are seeking qualified applicants for a Utilization Review Manager. Position Description: The Utilization Manager is responsible for directing and ...
As a part of our continued success and growth, we are seeking qualified applicants for a Utilization Review Manager. Position Description: The Utilization Manager is responsible for directing and ...
As a part of our continued success and growth, we are seeking qualified applicants for a Utilization Review Manager. Position Description: The Utilization Manager is responsible for directing and ...
As a part of our continued success and growth, we are seeking qualified applicants for a Utilization Review Manager. Position Description: The Utilization Manager is responsible for directing and ...
As a part of our continued success and growth, we are seeking qualified applicants for a Utilization Review Manager. Position Description: The Utilization Manager is responsible for directing and ...
Provides feedback to the Department Manager on the development/modification of the utilization review plan. 13. Attends treatment team daily to review assigned cases with team. 14. Complete and ...
Provides feedback to the Department Manager on the development/modification of the utilization review plan. 13. Attends treatment team daily to review assigned cases with team. 14. Complete and ...
Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Molina Healthcare ...
Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Molina Healthcare ...
Provides feedback to the Department Manager on the development/modification of the utilization review plan. 13. Attends treatment team daily to review assigned cases with team. 14. Complete and ...
Provides feedback to the Department Manager on the development/modification of the utilization review plan. 13. Attends treatment team daily to review assigned cases with team. 14. Complete and ...
Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Molina Healthcare ...
Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Molina Healthcare ...
Three (3) years workers compensation case management/utilization review, occupational health, rehabilitation or insurance experience preferred. QUALIFICATIONS * Excellent oral and written ...
Three (3) years workers compensation case management/utilization review, occupational health, rehabilitation or insurance experience preferred. QUALIFICATIONS * Excellent oral and written ...
Three (3) years workers compensation case management/utilization review, occupational health, rehabilitation or insurance experience preferred. QUALIFICATIONS * Excellent oral and written ...
Three (3) years workers compensation case management/utilization review, occupational health, rehabilitation or insurance experience preferred. QUALIFICATIONS * Excellent oral and written ...
Three (3) years workers compensation case management/utilization review, occupational health, rehabilitation or insurance experience preferred. QUALIFICATIONS * Excellent oral and written ...
Three (3) years workers compensation case management/utilization review, occupational health, rehabilitation or insurance experience preferred. QUALIFICATIONS * Excellent oral and written ...
Utilization Review Assistant- Remote
Flint, MI · On-site +1
... Utilization Review (UR) department. Activities may consist of collaborating with various medical ... Participates in quality management and continuous quality improvement activities. Perform all job ...
Utilization Review Assistant- Remote
Flint, MI · On-site +1
... Utilization Review (UR) department. Activities may consist of collaborating with various medical ... Participates in quality management and continuous quality improvement activities. Perform all job ...
... Utilization Review (UR) department. Activities may consist of collaborating with various medical ... Participates in quality management and continuous quality improvement activities. Perform all job ...
... Utilization Review (UR) department. Activities may consist of collaborating with various medical ... Participates in quality management and continuous quality improvement activities. Perform all job ...
Three (3) years workers compensation case management/utilization review, occupational health, rehabilitation or insurance experience preferred. QUALIFICATIONS * Excellent oral and written ...
Three (3) years workers compensation case management/utilization review, occupational health, rehabilitation or insurance experience preferred. QUALIFICATIONS * Excellent oral and written ...
RN Utilization Review Nurse
Troy, MI · On-site
$33 - $37/hr
Must be an RN * Utilization Review background in either Managed Care of Provider environment (at ... least one year) * Interqual experience (at least one year) * Also has a background in patient ...
RN Utilization Review Nurse
Troy, MI · On-site
$33 - $37/hr
Must be an RN * Utilization Review background in either Managed Care of Provider environment (at ... least one year) * Interqual experience (at least one year) * Also has a background in patient ...
... Utilization Review (UR) department. Activities may consist of collaborating with various medical ... Participates in quality management and continuous quality improvement activities. Perform all job ...
... Utilization Review (UR) department. Activities may consist of collaborating with various medical ... Participates in quality management and continuous quality improvement activities. Perform all job ...
Be Seen First
Care Management : Reviews all cases meeting criteria to determine if the member qualifies for TPTN's internal Care Management program. Will facilitate all Care Management related communications being ...
Quick apply
Be Seen First
Care Management : Reviews all cases meeting criteria to determine if the member qualifies for TPTN's internal Care Management program. Will facilitate all Care Management related communications being ...
Utilization Review Medical Director
Troy, MI · On-site +1
$250K - $250K/yr
The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment (DME) and related requests to support Integra's Utilization Management (UM ...
Utilization Review Medical Director
Troy, MI · On-site +1
$250K - $250K/yr
The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment (DME) and related requests to support Integra's Utilization Management (UM ...
The Group Director, Utilization Review will perform the functions necessary to support and advance ... Leaders relating to Case Management scope of services, including utilization management, transition ...
The Group Director, Utilization Review will perform the functions necessary to support and advance ... Leaders relating to Case Management scope of services, including utilization management, transition ...
The Group Director, Utilization Review will perform the functions necessary to support and advance ... Leaders relating to Case Management scope of services, including utilization management, transition ...
The Group Director, Utilization Review will perform the functions necessary to support and advance ... Leaders relating to Case Management scope of services, including utilization management, transition ...
The Group Director, Utilization Review will perform the functions necessary to support and advance ... Leaders relating to Case Management scope of services, including utilization management, transition ...
The Group Director, Utilization Review will perform the functions necessary to support and advance ... Leaders relating to Case Management scope of services, including utilization management, transition ...
Utilization Review Manager information
See Michigan salary details
$34K - $44.2K
9% of jobs
$51.7K is the 25th percentile. Wages below this are outliers.
$44.2K - $54.4K
22% of jobs
$54.4K - $64.5K
11% of jobs
The median wage is $70.8K / yr.
$64.5K - $74.7K
14% of jobs
$74.7K - $84.9K
12% of jobs
$91.3K is the 75th percentile. Wages above this are outliers.
$84.9K - $95.1K
13% of jobs
$95.1K - $105.3K
13% of jobs
$105.3K - $115.4K
5% of jobs
$115.4K - $125.6K
2% of jobs
$125.6K - $135.8K
0% of jobs
$135.8K - $146K
0% of jobs
$34K
$79.3K
$146K
How much do utilization review manager jobs pay per year?
What jobs pay $2000 a day?
What are some common challenges faced by Utilization Review Managers in balancing patient care and cost efficiency?
What job makes $10,000 a month without a degree?
What are the key skills and qualifications needed to thrive as a Utilization Review Manager, and why are they important?
What jobs in the US pay 300,000 a year?
What is the difference between Utilization Review Manager vs Utilization Review Coordinator?
| Aspect | Utilization Review Manager | Utilization Review Coordinator |
|---|---|---|
| Certifications | Typically requires certifications like CCM or ACU | May require similar certifications but often less advanced |
| Work Environment | Supervises review teams, manages processes in healthcare or insurance settings | Performs case reviews, supports the review process under supervision |
| Employer & Industry | Hospitals, insurance companies, healthcare organizations | Insurance companies, healthcare providers, third-party administrators |
The Utilization Review Manager oversees review teams and manages utilization review processes, focusing on policy compliance and efficiency. The Utilization Review Coordinator supports the review process by conducting case assessments and assisting managers. While both roles require similar certifications and work in related environments, the manager holds a supervisory position with broader responsibilities.
What does a utilization review manager do?
- Utilization Review Physician
- Per Diem Chart Review Nurse
- Contract Hedis Review Nurse
- Weekday Cvs Utilization Management Nurse
- Remote Utilization Management
- Remote Utilization Management Nurse
- Full Time Physician Advisor Utilization Review
- Utilization Management
- Cvs Health Utilization Management
- Physician Advisor Utilization Review
- Aetna Utilization Review Nurse
- Remote Anthem Utilization Review Nurse
- Interqual
- Night Shift Optum Utilization Review
- Registered Nurse Case Review
- Temporary Aetna Utilization Review Nurse
- Full Time Cigna Utilization Review Nurse
- Contract Utilization Review
- Dental Utilization Review
- Commission Authorization Utilization Review Bcba
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 14 days ago
Universal Health Services rating
6.7
Based on 249 frontline employees who took The Breakroom Quiz
528th of 872 rated healthcare providers
Job description
Benefit Highlights:
• 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!
More information is available on our Benefits Guest Website: benefits.uhsguest.com
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.
Position Description:
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.
More information is available on our Benefits Guest Website: benefits.uhsguest.com
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
Qualifications
Job Requirements:
Education: Bachelor's Degree required.
Experience: A minimum of three years' experience in Utilization Management Required.
License: State of Michigan licensure as LLP, LPC, LLPC LMSW, LLMSW, or Registered Nurse RN.
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. 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. 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.
We believe that diversity and inclusion among our teammates is critical to our success.
Avoid and Report Recruitment Scams
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.
What Universal Health Services employees say
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About Universal Health Services
Sourced by ZipRecruiter
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