Utilization Review Case Manager - Partial Hospitalization Program
Luminis Health · Annapolis, MD; Bowie, MD
Posted about a month ago
or apply directly on Luminis Health's site. We never take the application ourselves.
Is this posting real?
- This role has been open
- 30 days Luminis Health's roles stay open a median of 45 days
- Reposted
- No
- Salary listed
- No 0% of Luminis Health's roles list one
- Ghost-job risk at Luminis Health
- low 0 stale, 3 reposted of 425 open
- Hiring momentum
- 635 roles opened in the last 90 days ↑ up vs. the prior 90 days
- Last confirmed on the employer's board
- 2026-09-17
Measured from postings appearing on and disappearing from Luminis Health's own greenhouse board since 2026-08-03. Full hiring picture for Luminis Health.
About this role
The Utilization Review Case Manager for the Partial Hospitalization Program at Luminis Health will be responsible for conducting concurrent utilization reviews and managing case referrals for patients. This role involves collaborating with medical staff to ensure appropriate clinical documentation, assessing patient needs, determining medical necessity for admissions, and maintaining communication with managed care and third-party payors.
- benefits
- 4/5
- freshness
- 4/5
- career value
- 4/5
- role clarity
- 4/5
- pay transparency
- 0/5
Scored from the posting itself — how clearly the role is described, how much it says about pay and benefits, and how recently it was listed. Not a judgement of Luminis Health as an employer.
What you need
- BA/BS degree
- Two years of experience performing utilization review or utilization management
- Ability to assess data reflective of patients' status and interpret information for age-specific needs
- Experience in evaluating bio-psychosocial and nursing history
- Knowledge of medical necessity criteria and standards for admission
- Ability to monitor medical records and perform concurrent reviews with external agents
What you get
- Medical, Dental, and Vision Insurance
- Retirement Plan (with employer match for employees who work more than 1000 hours in a calendar year)
- Paid Time Off
- Tuition Assistance Benefits
- Employee Referral Bonus Program
- Paid Holidays, Disability, and Life/AD&D for full-time employees
Worth weighing
- No specific details on the software or systems used for utilization review
- Physical demands may limit candidates with certain disabilities despite accommodations being mentioned
Summarised from Luminis Health's posting. Read the full original.
Listed by Luminis Health on their greenhouse job board, last confirmed open on 2026-09-17. PitchMeAI is not the employer.
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