Find & Apply For Clinical Auditor / Utilization Reviewer Jobs in Plymouth, Indiana

Responsibilities Director Utilization Management Michiana Behavioral Health (a UHS facility): Michiana Behavioral Health is dedicated to creating a therapeutic environment that helps patients restore their health and get a fresh start. Located in Plymouth, Indiana, in a rejuvenating wooded setting, Michiana Behavioral Health provides each patient with comprehensive behavioral health treatment from compassionate and caring staff. Our leadership is committed to making sure every patient in our care receives high-quality care that gets them back on track at school, work, and home. For more information, please visit our website: https://michianabehavioralhealth.com

Position Summary:

The Director of Utilization Management is responsible for directing and overseeing the UM Dept, which includes the implementation of case management scenarios, consulting with all services to ensure the provision of an effective treatment plan for all patients. This position also oversees the response to requests for services and interfaces with managed care organizations, external case managers, and other payers. Also, assures that good customer service practices are utilized. Maintains denials and appeals logs and reviews the progress of all appeals activity on a monthly basis.

Responsibilities include:

Oversee all utilization management functions. Oversee precertification, concurrent, and discharge utilization reviews. Facilitates regulatory compliance with proper documentation. Oversees Utilization Management committee structure. Develops and monitors utilization management plans. 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 . From Fortune , ©2025, 2026 Fortune Media IP Limited. All rights reserved. Used under license. Qualifications Qualifications Registered Nurse licensed in the State of Indiana or a Master level clinician required. Masters degree is a related field preferred. Licensed Master level clinician preferred. 8 - 10 years of experience working in an acute inpatient psychiatric setting as a treatment team member or 5 -7 years of experience in utilization managment for both mental health and substance abuse behavioral health disorders. 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.

Qualifications:

Qualifications Registered Nurse licensed in the State of Indiana or a Master level clinician required. Masters degree is a related field preferred. Licensed Master level clinician preferred. 8 - 10 years of experience working in an acute inpatient psychiatric setting as a treatment team member or 5 -7 years of experience in utilization managment for both mental health and substance abuse behavioral health disorders. 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.