Utilization Manager

4 weeks ago


Peoria, Illinois, United States Carle Health Full time

Job Summary:

We are seeking a skilled Utilization Manager to join our team at Carle Health. As a Utilization Manager, you will play a critical role in ensuring that patients receive the most appropriate level of care while minimizing costs.

Key Responsibilities:

  • Collaborate with the interdisciplinary team to facilitate patient placement and ensure insurance requirements are met.
  • Review patient records to determine the appropriateness of care and apply admission, continued stay, and discharge criteria.
  • Work with payors to maximize benefits and establish outpatient services.
  • Participate in quality improvement processes and assist in identifying and decreasing unnecessary ancillary services.

Requirements:

  • Bachelor's Degree in a related field.
  • Minimum of 3 years of experience in behavioral health.
  • Strong communication and critical thinking skills.

About Carle Health:

Carle Health is an equal opportunity employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, or any other protected class.


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