Utilization Management Specialist

Responsibilities

• Utilization Management Specialist - Full-time Michiana Behavioral Health (a UHS facility) Michiana Behavioral Health offers respectful, dignified care to adults, children and teens experiencing emotional crisis and mental distress.
• We take a holistic approach to treatment, providing thoughtful and ethical care to those struggling with depression, anxiety, substance abuse and more.
• We’re available 24/7 to provide a confidential, no-cost mental health assessment.
• For more information, please visit our website: https://michianabehavioralhealth.com The Utilization Management Specialist is responsible for calls, investigative work, and clinical reviews with the insurance companies, managed care entities, and external reviewers.
• This position also provides assistance to discharge planning statistical collection and general support to department.
• Duties include but not limited to: Process admissions into the utilization management system.
• Conduct admission and concurrent reviews.
• Maintain statistics and data as requested/required.
• Attend Treatment Team meetings.
• Assists physicians with calls as needed.
• Benefit Highlights Challenging and rewarding work environment Career development opportunities within UHS and its Subsidiaries Competitive Compensation Excellent Medical, Dental, Vision and Prescription Drug Plan 401(K) with company match and discounted stock plan Generous Paid Time Off Free Basic Life Insurance Tuition Reimbursement About Universal Health Services One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance.
• Growing steadily since its inception into an esteemed Fortune 500® corporation, annual revenues during 2025 were $17.4 billion.
• In 2026, UHS was again recognized as one of Fortune World’s Most Admired Companies™ and in 2025, was listed in Forbes ranking of America’s Largest Public Companies.
• Headquartered in King of Prussia, PA, UHS has approximately 101,500 employees and continues to grow through its subsidiaries.
• Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.
• For additional information visit www.uhs.com.

Qualifications

• Bachelors degree in a related field a plus.
• One to three years of healthcare experience required.
• Certification in Utilization Management a plus.
• Knowledge of regulatory and insurance required.
• Excellent documentation skills.
• Advocate for patient's rights and treatment.
• 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.