LPN - MedSurg, Nights
piedmont
Manager Utilization Management-Behavioral Health
piedmont· Behavioral Health
About this role
Responsibilities
Provide system-level leadership and operational oversight of the Behavioral Health Utilization Review (UR) and Utilization Management (UM) processes across two hospital campuses and multiple Behavioral Health programs, including inpatient, ED-based, and specialty BH services. Responsible for ensuring consistent, compliant, and effective UR operations that support appropriate level-of-care determination, medical necessity, denial prevention, and financial performance. Serves as a primary point of contact and collaborative partner with multiple system teams, including but not limited to Revenue Cycle, Case Management, Compliance, Finance, HIM, Epic, Physician Advisors, and Executive Leadership, to align utilization practices with regulatory, payer, and organizational expectations.Qualifications
Education- Bachelor’s Degree in Nursing, Business Administration, Health Administration, Social Work, or a closely related field Required
- 5 years of experience in Behavioral Health Utilization Management and Utilization Review processes using medical necessity criteria (InterQual and/or Milliman).
- 2 years Experience requirement above, to include, 2 years of demonstrated leadership or management experience in a hospital, medical practice, or other healthcare setting Required
- Experience working in a system-level or multi-site environment Preferred
- RN - Registered Nurse - Georgia State Licensure and/or NLC/eNCL Multistate Licensure Required or
- LPC-Licensed Professional Counselor Required or
- LMSW - Licensed Medical Social Worker - State Licensure Required or
- LCSW- License Clinical Social Worker Required or
- Licensed Marriage and Family Therapist (LMFT) Required
- IQCI Certification Required
Business Unit : Company Name
Piedmont Healthcare CorporateFrequently Asked Questions
Is the salary disclosed for the Manager Utilization Management-Behavioral Health position at piedmont?
The salary for this Manager Utilization Management-Behavioral Health role at piedmont is not publicly listed. Click "Apply Now" to learn more about the compensation package on their official careers page.
Where is the Manager Utilization Management-Behavioral Health position at piedmont located?
This Manager Utilization Management-Behavioral Health role at piedmont is based in Atlanta, GA, US. The position is listed as on-site or hybrid. Check the full job description or apply directly to confirm the work arrangement.
Is the Manager Utilization Management-Behavioral Health role at piedmont full-time or part-time?
This is listed as a FULL TIME position. It is posted as a Manager Utilization Management-Behavioral Health role in the Behavioral Health department at piedmont.
Which team or department does the Manager Utilization Management-Behavioral Health at piedmont belong to?
This Manager Utilization Management-Behavioral Health position is part of the Behavioral Health department at piedmont. See the full job description for more information about the team structure and responsibilities.
How do I apply for the Manager Utilization Management-Behavioral Health position at piedmont?
Click the "Apply Now" button on this page. You will be redirected to piedmont's official application portal hosted on icims where you can submit your application directly.
When was the Manager Utilization Management-Behavioral Health job at piedmont posted?
This Manager Utilization Management-Behavioral Health position at piedmont was posted on Jul 30, 2026. Apply as soon as possible — early applications are often reviewed first.
Manager Utilization Management-Behavioral Health
piedmont
You'll be redirected to piedmont's official application page on icims.