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Director of Utilization Review Management

Foundations for Living · Forest Park, Illinois, United States

Location
Forest Park
Job Type
FULL_TIME
Posted
June 15, 2026

Job Description

Responsibilities

$10,000 Sign On Bonus

Riveredge Hospital is seeking a talented and dynamic Director of Utilization Management to join our team of dedicated healthcare professionals!

Position Summary:

The Director of Utilization Management is responsible for overseeing the Utilization Management Program for the Inpatient and Partial Hospital services. This includes the implementation of case management scenarios, consulting with all services to ensure the provision of an effective treatment plan for all patients, overseeing the response to requests for services and interfaces with managed care organizations, external reviewers and other payers.

Duties include, but are not limited to:

  • Direct the response to requests for services, including the initial response, the assessment and referral process, the designation of appropriate level of care, initiating of services, and follow up activity.
  • Review the effective...

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