Utilization Manager

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    "city": "Rhinebeck",
    "region": "NY",
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    "url": "https://careers-samaritanvillage.icims.com/jobs/3578/utilization-manager/job",
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    "title": "Utilization Manager",
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    "datePosted": "2026-06-03T04:00:00.000Z",
    "description": "<h2>Overview</h2>\n<p><strong>Utilization Manager</strong></p>\n<p><strong>Healthcare staff can work anywhere….The BEST work with US!</strong></p>\n<p><strong>Monday - Friday 9a-5p </strong></p>\n<p> </p>\n<p><strong>$32.96 - $37.48 per hour</strong></p>\n<p> </p>\n<p>A nationally recognized comprehensive Health and Human Services Agency, with over 60 programs across New York City and greater New York Area.</p>\n<p>Samaritan Daytop Village, serves over 33,000 New Yorkers annually within your neighborhoods and communities so our success depends on those we employ.</p>\n<p> </p>\n<p><strong>The Role</strong></p>\n<p>In concert with the agency’s mission and goal of sustaining high quality care/service delivery to persons served, the Utilization Manager works to assist CASAC Counselors and supervisory staff as needed with assuring compliance with external and internal utilization review/quality and appropriateness requirements. </p>\n<h2>Responsibilities</h2>\n<p><strong>What You Will Do</strong></p>\n<ul>\n <li>Conducts timely scheduled/required utilization reviews for Residential Services sites. </li>\n <li>Conducts timely and complete quality and appropriateness reviews on a representative sample of treatment records for residential service sites. </li>\n <li>Attends monthly/other require UR Committee meetings. Prepares accurate and timely UR Committee minutes and reports. Participates in the agency’s Quality Improvement / Utilization Management Committee.</li>\n <li>Provides Supervisory support to CASAC Counselors and Peer Workers as needed with supervisory guidance from Management/Leadership Team.</li>\n <li>Monitors and evaluates ongoing audit for chart.</li>\n <li>Provides direct care services to clients as needed.</li>\n <li>Assists with the maintenance of the agency’s OASAS accreditation for the program, i.e., standards review and conformance auditing.</li>\n <li>Performs other duties as assigned.</li>\n</ul>\n<h2>Qualifications</h2>\n<p><strong>Who You Will Be</strong></p>\n<ul>\n <li>High School Diploma or GED required, higher education in the human services field, preferred</li>\n <li>Current CASAC or the ability to complete requirements to obtain a CASAC (T) within 6 months of hire</li>\n <li>At least one year of clinical or quality assurance experience in behavioral healthcare/human services organization or one year demonstrated clinical experience in substance use or mental health treatment</li>\n <li>In depth knowledge on HIPAA, OASAS, and 42 CFR regulations</li>\n <li>Working knowledge of quality assurance and utilization review systems</li>\n <li>Proficient in Microsoft Office Suite and EHR systems.</li>\n <li>Experience working with people from diverse racial, ethnic, and socioeconomic backgrounds.</li>\n <li>Strong written, verbal, and interpersonal communication skills.</li>\n <li>Ability to accurately document records according to program standards.</li>\n <li>Ability to work independently.</li>\n <li>Spanish bilingual skills are a plus.</li>\n</ul>\n<p>*Assessment of salary is based on education, credentials and experience </p>",
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          "postalCode": "12572",
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          "streetAddress": "88 Fox Hollow Road",
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    "validThrough": "2027-06-03T04:00:00.000Z",
    "employmentType": "FULL_TIME",
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