Utilization Review Manager - Home Care ensures quality and level of care for patients are up to established standards and comply with federal, state, and local regulations. Investigates and resolves reports of inappropriate care. Being a Utilization Review Manager - Home Care may require a bachelor's degree. Typically reports to a head of a unit/department. To be a Utilization Review Manager - Home Care typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2024 Salary.com)
Fully On-Site Role
Utilization Review Manager
Salary/Hourly: $65-75,000/yr
Denver Springs Summary of Benefits Link
Members of our team Enjoy:
Working with a highly engaged staff
UKG Wallet – We’ve partnered with UKG Wallet, a voluntary Earned Wage Access benefit, to offer employees access to their pay on their own schedule.
Denver Springs is a 96-bed behavioral hospital located in Englewood, CO. The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents and their families. At Denver Springs we are dedicated to Changing People’s Lives®.
The responsibility of the UR Manager is to ensure the utilization review activities are completed accurately and timely. This includes the precertification and recertification, peer to peer process, and appeals. The UR Manager will report consistently and accurately to the CEO or delegate the authorization status of current patients and appeals.
Qualifications:
Requirements: