ERC Pathlight

Healthcare

UtilizationReviewManager

$93–117k Denver, Colorado, United States FULL TIME Remote Friendly
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for Manager candidates.

The Brief

“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.

Healthcare
Problems you'll solve

Facilitate solutions

Eligibility Requirements

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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