Utilization Manager

Direction Behavioral Health Associates, LLC is a dedicated team providing high-quality mental health care for children and adolescents. Since 2008, we’ve supported over 3,000 adolescents and their families through group therapy, family support, and medication management.

We’re seeking a Utilization Manager to lead authorizations, concurrent reviews, and payer communication for a census of 40 patients. This role sits at the intersection of clinical care and revenue cycle and offers the opportunity to make a meaningful impact on access to care. If you’re organized, detail-oriented, and passionate about helping young people receive the treatment they need, you’ll thrive in our collaborative environment—with opportunities to grow, learn, and assist other administrative staff as needed.

Key Responsibilities:

• Manage initial and concurrent authorizations for IOP/PHP levels of care
• Communicate directly with commercial and state payers
• Track authorizations, length of stay, denial patterns, and payer trends
• Prepare and submit clinical documentation that meets medical-necessity standards
• Partner closely with clinical, intake, and billing teams to support smooth operations
• Assist other administrative staff as needed, leveraging cross-training to ensure seamless operations.
• Learn and grow across multiple operational areas, including payer requirements and utilization review processes.

What We're Looking For:

• Strong problem-solving skills and comfort working in a fast-paced, dynamic environment.
• Excellent communication, collaboration, and negotiation skills with payers, clinical staff, and internal teams.
• Highly organized and able to manage multiple payer timelines and competing priorities.
• Flexible and willingness to assist other administrative staff as needed.
• Ability to translate clinical information into clear, concise, and accurate medical-necessity documentation.
• Experience in behavioral health utilization review/management preferred but not required.
• RN, LPN, LCSW, LICSW, or LMHC preferred but not required.

Schedule & Compensation

• Full-time, Monday-Friday with flexible scheduling within business hours.
• Competitive salary based on experience.
• On-the-job training and mentorship provided.

Why Join Us:

This is a unique opportunity to grow your career in behavioral health operations while making a direct impact on patient access to care. You’ll work in a collaborative, supportive environment where learning, attention to detail, and a passion for helping adolescents are valued.

How to Apply:

Submit your resume and a brief cover letter highlighting your experience—or your willingness to learn—and why you’d be a great cultural fit to info@directionbehavioralhealth.com.