Manager - Utilization Review - Full-time

Responsibilities

JOB SUMMARY :

The Manager of Utilization Management assumes responsibility for the functioning of the Utilization Management Department. The Manager of Utilization Management provides utilization management services in a manner consistent with the philosophy and objectives of the facility. The Manager of Utilization Management evaluates patient medical records to determine severity of patient's illness and determines the appropriateness of level of care. Serves as liaison for patients and hospital with insurance companies. Negotiates and advocates for patient length of stay and level of care. Oversees utilization management activities with other departments to ensure reimbursement for services provided by the hospital.

Lakeside Behavioral Health System provides an excellent opportunity for those seeking to be part of a team-oriented and compassionate organization. Our staff tell us that our team is their number one reason for working at Lakeside and we offer competitive compensation, excellent comprehensive benefits, opportunities for advancement, tuition assistance , and paid time off.

Since 1969, Lakeside has been the premier provider of specialized behavioral health and addictive disease services in the Memphis and Mid-South region . The 365-bed facility is one of the largest free-standing psychiatric hospital s in the United States . We are located on a serene 37-acre campus in northeast Shelby County, serving as the setting for the treatment for children, adolescents, young adults, adults and seniors. Lakeside's comprehensive programs treat disorders such as bipolar disorder, psychological trauma, depression and anxiety, mental illness and addictive disease disorders such as alcoholism, drug addiction and substance abuse.

This opportunity provides the following :

Qualifications

JOB SPECIFICATIONS :

To perform this job successfully, an individual must be able to demonstrate competency in the criteria listed in this job description. The specifications listed below are representative of the knowledge, skill, and ability to meet the minimum requirements for this position. Staff must demonstrate flexibility for reassignment, providing care to varied populations including male and female children, adolescents and adults as well as dually diagnosed adults.

Education : Masters prepared healthcare leader / director. Masters degree in Nursing, Counseling, Psychology or Social Work required.

Experience : Minimum of 5-7 years clinical experience with acute psychiatric setting as a treatment team member or 3-5 years in utilization management experience with case management and the utilization management process including concurrent reviews. Previous continuum of care experience highly preferred.

Licensure / Certification : If RN - licensure required.

Knowledge : Prefer knowledge of case management, age specific growth and development, crisis, and behavior management.

Supervision Received : Director of Utilization Management

Supervision Exercised : Utilization Management Coordinators

Universal Health Services (UHS)

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 $14.3 billion in 2023. 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 96,700 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 physicians' network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.

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 s 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.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries . We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at : https : / / uhs.alertline.com or 1-800-852-3449.