Utilization Review Manager - Medical & Behavioral Healthcare Jobs

NeuroPsychiatric Hospitals reported that its two Indianapolis facilities — Medical Behavioral Hospital of Indianapolis and NeuroPsychiatric Hospitals of Indianapolis — are hiring a Utilization Review Manager to oversee insurance reviews, discharge planning, and federal compliance across both campuses.

The position sits at a critical junction of American healthcare. Hospitals nationwide are facing mounting pressure from insurers and regulators to justify every day a psychiatric patient spends in a bed, and Indianapolis is no exception. The new manager will supervise staff who review patient records against standards such as InterQual and Milliman, coordinate precertifications and appeals with payors, and ensure the hospitals meet CMS Conditions of Participation. The role requires travel between both Indianapolis hospitals, meaning one person will carry leadership responsibility across two campuses.

What the Job Actually Requires

The posting lays out a demanding profile. Candidates need a bachelor’s degree in nursing, social work, behavioral health, or counseling, with a master’s preferred. Five years of hospital utilization review experience is required, along with at least three years supervising or managing in that role. An RN, LPN, social work, or counselor license is preferred, as is case management certification.

Day to day, the manager will lead the utilization review and case management program, review medical necessity and length of stay, run interdisciplinary team meetings, audit admissions and discharges, and track denial trends. The job description emphasizes real-time documentation in electronic medical records, collaboration with physicians and finance teams on coding accuracy, and the development of quality improvement initiatives. NPH also lists competitive pay, medical, dental, and vision insurance, a 401(k) with up to a 4% company match, generous PTO, tuition assistance through Capella University, and employee discounts through LifeMart.

Why This Hire Matters for Indianapolis Behavioral Care

Behavioral health hospitals operate under a unique financial squeeze. Unlike many medical specialties, psychiatric stays are scrutinized heavily by insurers, and denials can erase the margin on an entire admission. A utilization review manager is the person who catches those problems before they become revenue losses — and before they become barriers to patient care.

NPH, which operates hospitals in Indiana, Michigan, Texas, Ohio, and Arizona, describes itself as a national leader in behavioral healthcare specializing in patients with acute psychiatric and complex medical needs. The company says the Indianapolis hire is part of expanding access to its interdisciplinary model of care.

The stakes extend beyond one hospital’s balance sheet. When utilization review fails, patients can be discharged too early or kept too long; when it works, care stays continuous and reimbursement stays intact. That is why the role demands someone who can read clinical data, negotiate with payors, and educate staff — all while maintaining compliance with federal rules that carry real penalties when ignored.

Applications and inquiries run through NeuroPsychiatric Hospitals’ careers channel, with the position covering both Indianapolis facilities under one leadership umbrella.