Utilization Review & Case Manager - Behavioral Health

Luminis Health in Bowie, MD, is seeking a Utilization Review/Case Manager for the Partial Hospitalization Program. The role performs concurrent utilization review and manages case referrals, collaborating with clinical staff to secure documentation for review and optimal patient placement.

In coordination with managed care and external payors, you will ensure appropriate case management, determining admission, pre-authorization, and ongoing review across clinical areas.