Utilization Review Manager
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 directing employees to be effective team members. Ensures that everyone is equipped with the right skills, tools, and talents necessary for executing their duties. Using the established people processes (performance, development, succession, and career) to ensure that the team’s level of performance and capabilities meet current and future standards.
- Advocates for optimal patient care in clinical care determination reviews by proactively reviewing and synthesizing the medical record for discussion with licensed mental health counselors and social workers and RNs at managed care organizations
- Liaison with regional management teams to discuss clinical issues and facilitate solutions to situations that involve the UR process
- Oversees regional caseload allocation
- Attends treatment team meetings to share information and represent UR department; shares clinical documentation quality concerns
Education Requirements:
- Graduate Degree - Master's degree in psychology, counseling or social work. Alternatively, a bachelor's in Nursing
License and Certification Requirements
- RN, IF nurse (Required)
- Full clinical licensure, if mental health. (Required)
Knowledge, Skills and Abilities:
- 4 to 6 years Utilization review experience (Required)
- 2 years post-degree mental health experience in direct patient care (Required)
- 2 years management experience (Preferred)
- Willingness to work occasional night/weekends
Location & Schedule:
- Remote: Mondays and Fridays
- On-site in our Denver Office: Tuesdays, Wednesdays, and Thursdays
The compensation range for this position is based upon candidate experience and market expectations.
Colorado pay range
$93,000 - $117,000 USD
What We Offer
At ERC Pathlight, caring for people is our mission and that begins with caring for our own team. Your well-being matters, and our benefit program is designed to support every part of your life.
We offer competitive compensation; comprehensive medical, dental, and vision coverage; generous Paid Time Off; Parental Leave benefits; Retirement benefits; and tuition reimbursement to help you continue growing in your career.
We also recognize that mental health is part of every person’s experience. That’s why we strive to create a workplace where you feel supported, seen, and encouraged—personally, professionally, and at home.
When you thrive, you can do your best work. And your best work changes lives.
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