Utilization Management Manager

Utilization Management Manager

Utilization Review Manager Lead, Support & Shape Quality Care Join a mission-driven team where your expertise in clinical documentation, insurance processes, and patient advocacy directly impacts client care and successful outcomes. As the Utilization Review (UR) Manager, you will lead a highly engaged team, streamline workflows, and ensure regulatory complianceall while supporting clients' access to necessary treatment.

Roles and Responsibilities :

• High School Diploma or equivalent required
• Preferred : Graduation from an accredited Nursing program (LPN / RN) or Bachelor's degree in social work, behavioral health, mental health, or a related field
• 2+ years of clinical experience in a substance abuse setting REQUIRED
• 2+ years of utilization management experience in medical / psychiatric care REQUIRED
• Strong knowledge of admission, concurrent, continued-stay, and retrospective review criteria

Skills & Competencies :

Supervisory Requirements

Lead & Support a High-Performing UR Team

Ensure Accurate Assessments & Compliance

Collaborate Across Departments

Manage Insurance Processes & Appeals

Drive Quality & Adherence to Standards

Why Wooded Glen Recovery Center? Wooded Glen Recovery Center offers a comprehensive benefit plan and a competitive salary commensurate with experience and qualifications. Qualified candidates should apply by submitting a resume. Wooded Glen Recovery Center is an EOE. Veterans and military spouses are highly encouraged to apply. Summit BHC is dedicated to serving Veterans with specialized programming at our treatment centers across the country. We recognize and value the unique strengths of the military community in supporting our mission to serve those who have served.