Utilization Review Case Manager - Partial Hospitalization Program
Luminis Health · Lanham, 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 is responsible for conducting utilization reviews and managing case referrals for patients. This role involves collaborating with medical staff to gather clinical documentation, assessing patients' needs, verifying medical necessity for admissions, and maintaining communication with managed care payors. The position also requires tracking and reporting on utilization review performance and handling appeals for cases that deviate from program norms.
- 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 and interpret patient data
- Experience in determining medical necessity and appropriateness of admissions
- Familiarity with pre-admission assessments and concurrent reviews
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 mention of remote work options
- Physical demands include light work, which may not suit all candidates
- The job description includes a broad range of responsibilities, which may lead to varying daily tasks
- Salary range is provided, but no specific salary for the role is stated
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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