Director of Utilization Review

University Health Services Inc

SALT LAKE CITY, UT

JOB DETAILS
SKILLS
Behavioral Health, CPR Certification, Clinical Medicine, Communication Skills, Content Management Systems (CMS), Discharge Plans, Equal Employment Opportunity (EEO), Hospital, Law Enforcement, Leadership, Managed Care, Medicaid, Medicare, Nursing, Patient Care, People Management, Performance Reviews, Psychiatry and Mental Health, Quality of Care, Regulations, Regulatory Requirements, Social Work, Staff Training, State Laws and Regulations, Team Player, Utilization Management, Wound Care, Yahoo!
LOCATION
SALT LAKE CITY, UT
POSTED
8 days ago

Responsibilities Salt Lake Behavioral Health is seeking a motivated and compassionate team player as our Director of Utilization Review. Salt Lake Behavioral Health is a private 118 bed freestanding psychiatric hospital specializing in mental health and substance abuse treatment for adults. We understand that not all wounds are visible. Depression, anxiety, trauma, addiction and suicide affects millions of individuals and families. Our mission is to transform lives through exceptional patient care. Benefits of joining the Salt Lake Behavioral team: Competitive Salary Generous Paid Time-off Wide Range of Medical & Voluntary Benefits Excellent Team of Senior Management Discounted meals A challenging and rewarding work environment Growth and development opportunities within UHS and its 300+ facilities Expand your experience and energize your career The Director of Utilization Review provides executive leadership and operational oversight for all inpatient and outpatient utilization review, care management, and payer authorization functions. This role ensures that services provided are medically necessary, clinically appropriate, and authorized in accordance with payer, regulatory, and accreditation requirements. The Director serves as the primary liaison between managed care organizations, external reviewers, Medicaid, and facility leadership. This position drives denial prevention strategies, ensures effective communication across clinical and financial teams, and aligns utilization management practices with organizational goals, regulatory standards, and patient-centered care delivery. For more information about Salt Lake behavioral Health, go to our website at www.saltlakebehavioralhealth.com and you can also watch our video from staff at https://www.youtube.com/watch?v=j4bm4W1rnfo Qualifications Education: Bachelor's Degree from an accredited college or university. Clinical field of study in social work, nursing, or similar discipline preferred. Experience: One to Five (1-5) years required of related experience, with expert knowledge of utilization review processes, managed care, Medicare, and Medicaid requirements. One to Five (1-5) years preferred of managerial experience to hiring, supervision, and staff evaluation. Licensure: Must attend in house CPR and Handle With Care certification. Additional Requirements: Strong understanding of psychiatric treatment planning, levels of care, and discharge planning. Knowledge of Joint Commission, CMS, and state regulatory requirements. Ability to analyze denial trends, payer behavior, and authorization outcomes. 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. Avoid and Report Recruitment Scams  We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information. 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.

About the Company

U

University Health Services Inc