Harbor Oaks Hospital is looking for a Utilization Review Manager to join our team! 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 to 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. HOAK01