Walker Health Services
Utilization Review Manager
Pikesville, MD
Sponsorship not specified$75k-$90kDetected 20 days ago
Patient CareLeadershipCommunicationCollaborationMentoring
About the role
- Walker Health Services is seeking an experienced and strategic Utilization Review Manager to lead our Utilization Review (UR) department.
- This individual will be responsible for overseeing the UR process, ensuring compliance with state-specific guidelines, and developing policies and procedures for both internal workflows and client interactions.
- The Manager will also focus on optimizing UR operations, managing the team, and ensuring that all authorizations and reviews meet payer requirements.
Responsibilities
- Team Leadership: Lead and manage the Utilization Review team, providing guidance, mentorship, and professional development opportunities.
- Policy Development: Develop and implement internal policies and procedures to streamline the UR process and ensure consistency and efficiency.
- Provide clients with ongoing support to improve their understanding of the UR process, minimizing authorization denials and delays.
- Cross-Departmental Collaboration: Collaborate with the billing and management teams to ensure seamless coordination of the UR process and to support the organization's broader operational goals.
- Lead quarterly client reviews to discuss UR performance, process improvements, and any upcoming changes.
- Lead and manage the Utilization Review team, providing guidance, mentorship, and professional development opportunities.
- Develop and implement internal policies and procedures to streamline the UR process and ensure consistency and efficiency.
- Collaborate with the billing and management teams to ensure seamless coordination of the UR process and to support the organization's broader operational goals.
Requirements
- Excellent communication and relationship management skills, with the ability to educate and guide clients in navigating the UR process.
Compensation
- $75,000 - $90,000
Benefits
- Walker Health Services partners with behavioral health providers to offer a full suite of administrative solutions, including comprehensive medical billing, utilization review services, and credentialing support.
- Our mission is to simplify the complexities of revenue cycle management, helping providers navigate the intricate landscape of medical billing.
Apply directly at Walker Health Services →Create a free account for alerts like thisView Walker Health Services immigration profile
This listing is sourced directly from Walker Health Services's careers page and normalized into a canonical job model.