Working Title: Utilization Reviewer
Job Class: Management Analyst 2
Agency: Direct Care and Treatment
Job ID : 92978
Location : Vadnais Heights
Telework Eligible : Yes
Full/Part Time : Full-Time
Regular/Temporary : Unlimited
Who May Apply : Open to all qualified job seekers
Date Posted : 03/20/2026
Closing Date : 03/26/2026
Hiring Agency/Seniority Unit : Direct Care and Treatment / DCT MAPE State Operated Svcs
Division/Unit : DCT Support Services / DCT Utilization Mgt Staff
Work Shift/Work Hours : Day Shift / 8:00am - 4:30pm
Days of Work : Monday - Friday
Travel Required : No
Salary Range: $25.67 - $37.26 / hourly; $53,598 - $77,798 / annually
Classified Status : Classified
Bargaining Unit/Union : 214 - MN Assoc of Professional Empl/MAPE
FLSA Status : Nonexempt
Designated in Connect 700 Program for Applicants with Disabilities (https://mn.gov/mmb/careers/diverse-workforce/people-with-disabilities/connect700/) : Yes
Direct Care & Treatment (DCT) is unable to provide sponsorship for work visas. Applicants must be eligible to work in the United States at the start of employment. DCT does not participate in E-Verify.
The work you'll do is more than just a job.
At the State of Minnesota, employees play a critical role in developing policies, providing essential services, and working to improve the well-being and quality of life for all Minnesotans. The State of Minnesota is committed to equity and inclusion, and invests in employees by providing benefits, support resources, and training and development opportunities.
This position requires an employee to be onsite at 3200 Labore Rd, Ste 104, Vadnais Heights, Minnesota at least 50% of the time, with some opportunity to perform work from a telework location.
Telework (https://mn.gov/mmb-stat/policies/1422-telework.pdf) is available on a limited basis.
Only candidates residing in Minnesota or a state bordering Minnesota (Iowa, North Dakota, South Dakota, or Wisconsin) within 50 miles of the work address listed above are eligible for telework.
Candidates residing in Minnesota and more than 50 miles from the primary/principal work address above may be eligible to telework more than 50%.
As the Utilization Reviewer, you will assess patient medical records upon admission and during continued stay for documentation that supports the need for treatment and services at the level of care provided, based on program specific criteria, and in accordance with federal and state regulations. The Utilization Reviewer will conduct on-site and electronic medical record reviews to support all DCT mental health, chemical health, and forensic programs across Minnesota and review all patients regardless of payment source. This position will obtain insurer and payer authorizations for treatment, where applicable, and facilitate notification of the treatment team and person receiving services, when further treatment does not meet continued stay criteria.
Primary responsibilities:
Conduct electronic admission and medical record reviews to assess level of care and program service needs.
Participate in data collection and analysis of utilization management information.
Coordinate utilization review activities with program's billing processes.
Participate in development and implementation of utilization management training efforts.
Direct Care and Treatment (DCT) is a modern behavioral health care system that includes a variety of programs, including residential and vocational services for individuals with serious mental illnesses, developmental disabilities, substance abuse disorders, and much more. We have clinical expertise, staff and facilities to care for patients and clients with complex conditions in safe, secure, and therapeutic settings across Minnesota. Our mission is to support meaningful lives through specialized behavioral health services that others do not provide.
Minimum Qualifications
To be qualified for and considered for this position, applicants must meet all the minimum qualifications listed below. Ensure that your resume contains descriptions of your work experience sufficient for comparison against the requirements stated below and indicate the beginning and ending month and year for each job held.
One (1) year of experience in health care utilization review that demonstrates the following:
Experience in health insurance and/or billing.
Experience with admission reviews and continued stay reviews.
Data collection and analysis using computer systems and applications.
Collaborating with third-party payers and service providers
OR
Three (3) years administrative support experience in health care utilization review that demonstrates the following:
Experience in health insurance and/or billing.
Process and enter verified data using computer systems and applications.
Support and communicate data in a clear and concise manner.
Support in the completion of admission reviews and continued stay reviews.
Collaborating with third-party payers and service providers.
Note: A bachelor's degree in psychology, business management, healthcare administration, nursing or related field may substitute for 1 year of advanced technical or paraprofessional experience.
Preferred Qualifications
Bachelor's degree in psychology, business management, healthcare administration, nursing, or related field.
Experience with care delivery in a behavioral health facility.
Our employees are dedicated to ensuring cultural responsiveness. Preferred candidates will have a variety of experiences working effectively with others from different backgrounds and cultures.
Additional Requirements
To facilitate proper crediting, please ensure that your resume clearly describes your experience in the areas listed and indicates the beginning and ending month and year for each job held.
REFERENCE/BACKGROUND CHECKS - Direct Care & Treatment will conduct reference checks to verify job-related credentials and criminal background check prior to appointment.
EDUCATION VERIFICATION - Applicants will be required to provide a copy of their high school diploma at time of interview OR copies of their college transcript or college degree/diploma at time of interview. Copies of the college degree/diploma are acceptable ONLY if it clearly identifies the field in which it was earned.
Direct Care & Treatment (DCT) healthcare facilities require employees to provide documentation that they are free from tuberculosis (TB) through a blood test prior to employment. DCT does not accept TB skin testing.
AN EQUAL OPPORTUNITY EMPLOYER
Minnesota State Colleges and Universities is an Equal Opportunity employer/educator committed to the principles of diversity. We prohibit discrimination against qualified individuals based on their race, sex, color, creed, religion, age, national origin, disability, protected veteran status, marital status, status with regard to public assistance, sexual orientation, gender identity, gender expression, or membership in a local commission as defined by law. As an affirmative action employer, we actively seek and encourage applications from women, minorities, persons with disabilities, and individuals with protected veteran status.
Reasonable accommodations will be made to all qualified applicants with disabilities. If you are an individual with a disability who needs assistance or cannot access the online job application system, please contact the job information line at 651-259-3637 or email careers@state.mn.us . Please indicate what assistance is needed.
