Utilization Review ManagerAcadia Healthcare • New Baltimore, MI, US

Utilization Review Manager

Acadia Healthcare • New Baltimore, MI, US

30+ days ago

Job type

Full-time

Job description

Utilization Review Manager

Harbor Oaks Hospital, New Baltimore's leading Mental Health and Addiction Treatment Center is seeking a passionate Utilization Review Manager to work at our facility in New Baltimore, MI.

Non-Exempt Position

PRN Position

Monday - Friday - Day Shift

Rate of Pay : $25.00 - $35.00 per hour (based on experience)

Purpose Statement :

Monitor utilization of services and optimize reimbursement for the facility while maximizing use of the patient's provider benefits for their needs.

Essential Functions :

Provide consultation and guidance regarding admissions and patient length of stay to a variety of payers.
Secure authorizations with insurance companies for inpatient treatment and continue to obtain authorizations for duration of patient stay.
Evaluate the utilization program for compliance with regulations, policies and procedures.
Review clinical documentation from denied stays against criteria to determine if documentation is adequate for requested treatment.
Provide staff management including hiring, development, training, performance management and communication to ensure effective and efficient department operation.

Other Functions :

Perform other functions and tasks as assigned.

Licenses / Designations / Certifications :

If applicable, current licensure as an LPN or RN or LPC, or LMSW or LLMSW 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.

CPR and de-escalation and restraint certification required (training available upon hire and offered by facility).

First aid may be required based on state or facility requirements.

Create a job alert for this search

Utilization Review Manager • New Baltimore, MI, US

Related jobs

Restaurant Delivery - Sign Up and Start Earning

DoorDash • Yale, US

Full-time +1

DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day. As a Dasher, you’ll stay busy with a variety o...Show more

Last updated: 3 days ago • Promoted

Shift Manager - Lunch / Afternoon Shift

Wendy's • Richmond, MI, US

Full-time

The Shift Manager position is the first management level role in the restaurant.This position is responsible for the opening and closing duties and assisting in the execution of daily operations.Re...Show more

Last updated: 30+ days ago

Shift Leader 706

WhiteWater Express Car Wash • Chesterfield, MI, US

Full-time

Quick Apply

Shift Leader At WhiteWater Express, we are more than just a car wash; we are a company built on respect, communication, and a passion for people. Our dedicated team members are leaders within the co...Show more

Last updated: 30+ days ago

Travel Nurse RN - Psych - $1,614 to $1,779 per week in New Baltimore, MI

TravelNurseSource • NEW BALTIMORE, MI, US

Full-time

TravelNurseSource is working with AMN Healthcare to find a qualified Psych RN in NEW BALTIMORE, Michigan, 48047!.Job Description & Requirements. Registered Nurse – Psychiatric - Travel - (Psych ...Show more

Last updated: 30+ days ago • Promoted

Shift Manager

Wendy's • Richmond, MI, US

Full-time

Last updated: 30+ days ago

Assistant Manager

Burger King • Richmond, MI, US

Full-time

Quick Apply

Carrols LLC is the largest Burger King Franchise.We own and operate over 800 Burger King Restaurants.We've been in the burger business for over 55 years so we know a little bit about success.We're ...Show more

Last updated: 30+ days ago

Reserve Entomologist

US Army • Algonac, MI, United States

Full-time

THE ARMY HEALTH CARE ADVANTAGE As a member of the Army health care team, you’ll receive benefits that you won’t be able to get in a civilian career. Challenging Work Feel inspired with great case di...Show more

Last updated: 30+ days ago • Promoted

Travel Nurse - OR - Operating Room in New Haven, MI - $9397 / month

VETTED • New Haven, MI, United States

Temporary

Job Opportunity : RN - OR - Operating Room.Specialty : RN - OR - Operating Room.Location : Mount Clemens, Michigan.Coordinates total nursing care for patients. Participates in patient and family teachi...Show more

Last updated: 3 days ago • Promoted

RN Care Management - Medical

Mary Free Bed at Home • Grant, Saint Clair County, MI, US

Full-time

At Mary Free Bed at Home, we’re looking to add to our extraordinary care team.Grounded by our belief that outstanding care is best delivered in a team-based environment, our home health registered ...Show more

Last updated: 2 days ago • Promoted

Occupational Therapist

McLaren Health Care • Chesterfield Twp, MI, United States

Full-time

The occupational therapist accurately assesses and identifies deficits in a patient's ability to perform activities of daily living (ADL) and instrumental activities of daily living (IADL) relative...Show more

Last updated: 5 days ago • Promoted

Project Manager, Integration

Advanced Integration Technology • New Baltimore, MI, US

Full-time

AIT is the world's largest provider of automation, factory integration and tooling solutions dedicated to the global aerospace, defense, and space launch vehicle industries.AIT offers a competitive...Show more

Last updated: 30+ days ago • Promoted

RN - Behavioral Health

Acadia Healthcare Harbor Oaks Behavior Health Hospital • New Baltimore, MI, United States

Full-time

Acadia Healthcare Harbor Oaks Behavior Health Hospital.This is a 13-week contract position.We are seeking a dedicated Behavioral Health Psych Nurse with experience in a similar facility serving a r...Show more

Last updated: 5 days ago • Promoted

RN Care Management - Medical

Residential Home Health and Hospice • Anchorville, MI, US

Full-time

At Residential Home Health and Hospice (‘Residential’), we’re looking to add to our extraordinary care team.Grounded by our belief that outstanding care is best delivered in a team-based environmen...Show more

Last updated: 2 days ago • Promoted

PRN Occupational Therapist (OT)

CommuniCare Family of Companies • Clay Twp, MI, United States

Full-time

Merit DriveRichmond Heights, OH 44143.CommuniCare Family of Companies.This is an exciting opportunity to make a direct impact with our residents through therapy. Competitive Wages, No Wage Freeze.Ge...Show more

Last updated: 5 days ago • Promoted

Business Process Specialist I (New Baltimore)

TPI Global Solutions • New Baltimore, MI, US

Part-time

Business Process Specialist I / Admin assistant.Contract Duration : Contract through 12 / 31 / 2026 (High potential for extension). Work Schedule : Hybrid (On-site : Monday, Tuesday, Thursday | Remote : Wedne...Show more

Last updated: 1 day ago • Promoted

Licensed Marriage and Family Therapist (LMFT)

LifeStance Health • Algonac, MI, US

Full-time

We are actively looking to hire talented Therapists in the area, who are passionate about patient care and committed to clinical excellence. Wanting to deliver high quality behavioral healthcare.Int...Show more

Last updated: 30+ days ago • Promoted

Home Health RN $10,000 Bonus

Residential Home Health and Hospice • Lenox, MI, US

Full-time

At Residential Home Health and Hospice ('Residential'), we're looking to add to our extraordinary care team.Grounded by our belief that outstanding care is best delivered in a team-based environmen...Show more

Last updated: 2 days ago • Promoted

Share Your Opinions. Earn Rewards.

Opinion Edge • New Baltimore, Michigan, United States

Full-time

Join Opinion Edge today and get paid for your insights! Take short surveys on the topics that matter to you and earn rewards for every completed survey. Sign up now and start turning your voice into...Show more

Last updated: 15 days ago • Promoted