Utilization Review Manager

About the role

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.

Responsibilities

• ESSENTIAL DUTIES AND RESPONSIBILITIES:
• 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:
• This position is posted as remote; however, per company policy, candidates residing within a 35‑mile radius of ZIP code 80230 will be required to follow a hybrid schedule, even if they applied to the remote posting.
• 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

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