Centralized Utilization Review Manager

At Houston Methodist, the Manager Centralized Utilization Review (UR) position is responsible for leading the daily operations of the Utilization Review department to ensure efficient, high-quality, and compliant utilization management practices across the organization. This position ensures timely initial, concurrent, and retrospective reviews for medical necessity, level of care, and payer requirements. Reporting to the Director of Centralized Utilization Review, the Centralized Manager, UR position supports enterprise strategies for denial prevention, regulatory compliance, and throughput optimization. This position serves as a subject matter expert and front-line leader, guiding clinical and non-clinical staff in UR functions, maintaining performance metrics, managing team workflows, and collaborating with physicians, case management, revenue cycle, and contracting teams to support organizational goals.

The manager's position responsibilities include managing the daily wor...