ERC Pathlight
Healthcare
UtilizationReviewManager
Neural analysis suggests this role is
optimal for Manager candidates.
“Utilization Review Manager at ERC Pathlight. Skills: Utilization review, Patient care advocacy, Clinical determination reviews, Caseload allocation. Hire Utilization Review Specialists. Evaluate Utilization Review Specialists”
What You'll Achieve.
Provide optimal patient care
Industry & Context.
Facilitate solutions
Willingness to work occasional night/weekends
What They're Looking For.
Must Have
4 to 6 years Utilization review experience, 2 years post-degree mental health experience, Graduate Degree - Master's degree, RN, IF nurse (Required), Full clinical licensure, if mental health
Nice to Have
2 years management experience
What You'll Do.
Hire Utilization Review Specialists
Evaluate Utilization Review Specialists
Supervise Utilization Review Specialists
Oversee Utilization Review operations
Coordinate with Clinical Managers
Coordinate with Directors
Coordinate with Physicians
Coordinate with Business Office
Coordinate with Managed Care Organizations
Assure smooth operation of UR functions
Provide optimal patient care
Clinically supervise teammates
Provide in-moment assistance
Supervise assigned team
Ensure team performance
Ensure team capabilities
Advocate for optimal patient care
Review medical record
Synthesize medical record
Liaise with regional management
Discuss clinical issues
Oversee regional caseload
Attend treatment team meetings
Share clinical documentation concerns
How You'll Work.
Team & Collaboration
Clinical Managers; Directors; Physicians; Business Office; Managed Care Organizations; Regional management teams; Treatment team meetings
Full Job Description
Who We Are At ERC Pathlight, we’re on a mission to change lives—and we’re looking for people who feel called to do the same. As one of the nation’s leading treatment providers for eating disorders and mood, anxiety, and trauma-related conditions, we bring innovative, evidence-based, and deeply compassionate care to patients across the country. With multiple locations nationwide and extensive virtual programming, we meet patients exactly where they are and help them move toward lasting recovery. Founded in 2008 by renowned psychiatrists and psychologists, ERC Pathlight now supports more than 6,000 patients each year. And as the need for world-class mental health care continues to rise, our commitment is stronger than ever: to expand access, elevate the standard of care, and empower every patient to rebuild their life with dignity and hope. Why Join Us When you join ERC Pathlight, you become part of a team that shows up every day to make a real difference. You’ll work alongside passionate clinicians, dedicated support staff, and mission-driven leaders who believe in collaboration, growth, and doing the right thing—always. Here, your work matters. Your ideas matter. You matter. If you’re energized by purpose, motivated by impact, and ready to help transform the future of mental health treatment, you belong here. Come build hope. Come save lives. Come grow with us. What You'll Be Doing: As a Manager, Utilization Review, you will hire, evaluate, and supervise Utilization Review Specialists and oversee Utilization Review operations. This role coordinates with Clinical Managers and Directors, Physicians, Business Office, and Managed Care Organizations to assure the smooth operation of Utilization Review functions and the provision of optimal patient care. ESSENTIAL DUTIES AND RESPONSIBILITIES: Clinically supervises teammates in 1:1 and group settings; provides in-moment assistance on escalated issues. Provides oversight to assigned team by supervising, guiding, and directi
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