Regional Utilization Review Manager
We're hiring an experienced and solutions-focused Regional Utilization Review (UR) Manager to oversee and support utilization review operations across multiple Banyan Treatment Centers facilities. This multi-site senior management role is responsible for driving consistency, compliance, and performance in UR processes through structured oversight, staff training, process development, and system implementation.
Position Details :
- Reporting to : Director of Utilization Review
- Schedule : Full-time, MondayFriday
- Location : Remote; this is a Multi-site Regional Role (Travel Required on an as needed basis)
- Compensation : $65,000 - $95,000 annually
Key Responsibilities :
Oversight of UR OperationsManage and support facility-based UR coordinators to ensure adherence to internal standards and regulatory guidelinesAudit performance related to length-of-stay (LOS) reviews, missed reviews, and payer denialsEvaluate coordinator effectiveness and lead performance improvement initiativesCross-Departmental Communication
Maintain strong communication across UR, nursing, clinical, case management, emergency department (ED), and medical teamsFacilitate clear, timely exchange of information regarding authorizations and reviewsTraining and Onboarding
Develop and deliver onboarding and continuing education programs for UR coordinatorsCreate region-specific payer tip sheets and operational guidesProcess Development and Scalability
Design and implement scalable workflows that remain effective through staffing transitions and facility growthStandardize UR processes across all regional facilities for consistency and efficiencyTracking and Systems Oversight
Develop systems to monitor authorization dates, deadlines for reviews, and hardware / equipment needsMaintain tools to support operational continuity and staff readinessQualifications :
Bachelor's degree in Nursing, Social Work, Healthcare Administration, or a related fieldActive, unencumbered clinical license (RN, LCSW, or equivalent) is strongly preferredMinimum 2 years of management or supervisory experience35 years of UR experienceKnowledge of payer requirements, regulatory standards, and utilization criteriaWhy Join Banyan Treatment Centers?
Lead Operational Excellence : Oversee UR functions across multiple locations with a focus on standardization, compliance, and efficiencySupport Team Development : Train, guide, and support UR staff with tools that drive consistent performanceStrengthen Organizational Readiness : Develop systems that sustain quality outcomes during growth and changeBe Part of a Recognized Industry Leader : Join a nationally accredited organization known for providing compassionate, high-quality careEnjoy Comprehensive Benefits : Full-time employees receive medical, dental, and vision insurance, life and disability coverage, a 401(k) with employer match, paid time off, wellness incentives, and employee referral programsApply Now! If you're a qualified leader with clinical expertise and a passion for operational improvement, apply today to join Banyan Treatment Centers' mission-driven team. EOE