Director of Utilization Management
3 weeks ago
Come join our team as theDirector of Utilization Management, at North Tampa Behavioral Health If you are passionate and dedicated to making a difference in the lives of those in need through compassionate therapeutic practices, this position is right for you
North Tampa Behavioral Health is the leading treatment program for individuals suffering with mental health & substance abuse issues. Our expert staff restore hope and provide lasting recovery to adults in the greater Tampa area, through holistic care and comprehensive inpatient & outpatient programs, including a separate inpatient program for senior adults. Our inpatient program also features specialized tracks for co-occurring disorders and chemical dependency. North Tampa Behavioral Health is conveniently located less the 20 miles from downtown Tampa, Florida, in beautiful Wesley Chapel, right off I-75 on SR-56. Our employees describe working at North Tampa Behavioral Health as “being part of a family”, “ability to make a real difference in a person’s life”, “warm and welcoming”, “providing service to those in need”. Our employees feel they make a difference in each patient they treat. Learn more at www.northtampabehavioralhealth.com.
We currently have an opening for a Full time, Director of Utilization Management, to join our team of caring professionals.
Purpose of position:Direct and manage the day-to-day operations of the Utilization Review department. Monitor utilization of services and optimize reimbursement for the facility while maximizing use of the patient’s provider benefits for their needs. Conducts and oversees concurrent and retrospective reviews for all patients. Act as a liaison between Medicaid reviewers and the staff completing required paperwork to facilitate the Utilization Review process. Collaborates with physicians, therapist and nursing staff to provide optimal review based on patient needs. Collaborates with ancillary services in order to prevent delays in services. Evaluates the Utilization Management program for compliance with regulations, policies and procedures. May review charts and make necessary recommendations to the physicians, regarding utilization review and specific managed care issues. Provide staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department operation.
At North Tampa Behavioral Health, we offer competitive compensation, benefits and regular opportunities for development and advancement.
Job Requirements:
Education: Bachelor's Degree in nursing or other clinical field required. Master's Degree in clinical field preferred.
Experience:Four (4) or more years’ experience in Utilization Management required. Three (3) or more years of supervisoryexperience required. Six (6) or more years’ of clinical experience in behavioral health field preferred.
Licensures/Certification: Florida Registered Nurse (RN) licensure preferred. Crisis Prevention Intervention (CPI) certification (will provide training for CPI), required.
Qualifications EducationRequired
Masters
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)
#J-18808-Ljbffr-
Director of Utilization
3 weeks ago
Wesley Chapel, Florida, United States North Tampa Behavioral Health Full timeOverview: PURPOSE STATEMENT: Direct and manage the day-to-day operations of the Utilization Review department. Responsibilities: ESSENTIAL FUNCTIONS: Monitor utilization of services and optimize reimbursement for the facility while maximizing use of the patient’s provider benefits for their needs. Conducts and oversees...
-
Utilization Review Specialist
2 weeks ago
Wesley Chapel, United States Acadia Healthcare Inc. Full timeOverview Shift: 7am - 3:30pm PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize reimbursement for the facility. Responsibilities ESSENTIAL FUNCTIONS: * Act as liaison between managed care organizations and the facility professional clinical staff. * Conduct reviews, in accordance with certification requirements, of...
-
Utilization Review Specialist
2 weeks ago
Wesley Chapel, United States Acadia Healthcare Full timeShift: 7am - 3:30pm PURPOSE STATEMENT:Proactively monitor utilization of services for patients to optimize reimbursement for the facility.ESSENTIAL FUNCTIONS:Act as liaison between managed care organizations and the facility professional clinical staff.Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care...
-
Utilization Review Specialist
3 weeks ago
Wesley Chapel, Florida, United States North Tampa Behavioral Health Full timeOverview: Shift: 7am - 3:30pm PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize reimbursement for the facility. Responsibilities: ESSENTIAL FUNCTIONS: Act as liaison between managed care organizations and the facility professional clinical staff. Conduct reviews, in accordance with certification requirements, of...
-
Human Resources Director- North Tampa
4 weeks ago
Wesley Chapel, United States North Tampa Behavioral Health Full timeOverview: ?PURPOSE STATEMENT: ?As a key member of the leadership team, the HR Director will lead the Human Resource initiatives to provide an employee oriented, high-performance culture that emphasizes empowerment, quality, productivity and standards, goal attainment and organizational growth. Responsibilities: ?ESSENTIAL FUNCTIONS: ?Contribute as a...
-
HOA Community Onsite Manager
4 weeks ago
Wesley Chapel, United States CareerBuilder Full timeJob Description Job Description A Day In the Life of a HOA Community Onsite Manager ******Must have CAM License***** HomeRiver Group is searching for a Community Onsite Manager. This person assists the Community Manager with overseeing all the HOA amenity facilities including the clubhouse, pool, park, game room, gym, and any other recreational amenities....
-
Assisted Living Administrator
4 days ago
Wesley Chapel, United States Blue Heron Full timeOverview: Now Hiring an Assited Living Administrator at Blue Heron Senior Living!! Blue Heron Assisted Living, a 95 apartment facility located in the heart of Wesley Chapel, Florida is searching for an experienced and licensed skilled facility Assistant Executive Director to lead a wonderful group of professional caregivers. We are a family-owned and a...
-
Assistant Office Manager-Wesley Chapel
4 weeks ago
Wesley Chapel, United States Coast Dental Full timeJob Details Description Are you looking to work for a practice that offers stability and operates with integrity? Would you like to work for a dentist with an excellent reputation in the community and among dental peers? Look no further. Coast Dental & Orthodontics follows COVID-19 CDC Guidelines and ADA recommendations and makes every effort to...
-
Community Director
2 days ago
Chapel Hill, United States The University of North Carolina at Chapel Hill Full times develop and coordinate residential communities of approximately -0 predominantly undergraduate students that augment and extend the intellectual climate of the University. Community Directors serve as the lead educator for students in the community and are designated as managers of their communities; including facilities operations, budget management,...
-
Chapel Hill, United States Clarendale of Schereville Full timeJob DescriptionThe Cedars of Chapel Hill is an upscale retirement community with over 400 Members. We believe team members are our greatest resource and are looking for people who share our commitment to provide quality care for seniors and their families. We deliver high-quality care with a personal touch and encourage our Members to enjoy life to the...
-
Epic Healthy Planet Analyst
1 week ago
Wesley Chapel, United States ClinDCast Full timeFamiliarity in developing Epic Healthy Planet related applications for Care Managers, clinically integrated networks (CINs), Population Health Management, HEDIS/NCQA Based quality measures, and Accountable Care organizations (ACO). Certification or familiarity with modules of Healthy Planet (Epic) and EpicCare Ambulatory (Epic). Familiarity with deploying...
-
Front Desk Receptionist
1 day ago
Wesley Chapel, United States Insurance Company Of Florida.com LLC Full timeWe are looking for a Receptionist to manage our front desk on a daily basis and to perform a variety of administrative and clerical tasks. As a Receptionist, you will be the first point of contact for our company. Our Receptionist’s duties include offering administrative support across the organization. You will welcome guests and greet people who visit...
-
Front Desk Receptionist
1 month ago
Wesley Chapel, United States Insurance Company Of Florida.com LLC Full timeJob DescriptionJob DescriptionWe are looking for a Receptionist to manage our front desk on a daily basis and to perform a variety of administrative and clerical tasks. As a Receptionist, you will be the first point of contact for our company. Our Receptionists duties include offering administrative support across the organization. You will welcome guests...
-
Automotive Sales Professional
5 days ago
Wesley Chapel, United States Your Auto Giant Full timeJob Description Job Description Tampa Bay’s newest Volkswagen dealership, Volkswagen of Wesley Chapel, is seeking energetic, motivated individuals to join our Sales Department representing our dealership and the Volkswagen product in a positive, professional manner. Automotive sales experience is not necessary. Customer service experience is preferable....
-
Sales Representative
4 weeks ago
Wesley Chapel, United States Biscayne Homes, LLC Full timeJob DescriptionJob DescriptionDuties and Responsibilities:We are currently looking to hire an extremely motivated and highly qualified salesperson with previous New Homes Sales experience.The salesperon will be responsible for managing a smooth sales process, while providing excellent customer service.The New Home Sales Representative will work out of our...
-
Automotive Sales Professional
1 month ago
Wesley Chapel, United States Your Auto Giant Full timeJob DescriptionJob DescriptionTampa Bay’s newest Volkswagen dealership, Volkswagen of Wesley Chapel, is seeking energetic, motivated individuals to join our Sales Department representing our dealership and the Volkswagen product in a positive, professional manner. Automotive sales experience is not necessary. Customer service experience is preferable. This...
-
Behavior Technician
1 week ago
Wesley Chapel, United States Butterfly Effects Full timeABA Behavior Technician ABA Behavior Technician / RBT- Part Time Butterfly Effects' Mission is to make a socially meaningful change in the lives of children and families. Children and families are at the heart of our work, and we take care of the people who make all the difference - People like You! We have a welcoming environment with a leadership team that...
-
Behavior Technician
3 weeks ago
Wesley Chapel, United States Butterfly Effects Full timeABA Behavior Technician ABA Behavior Technician / RBT- Part Time Butterfly Effects' Mission is to make a socially meaningful change in the lives of children and families. Children and families are at the heart of our work, and we take care of the people who make all the difference - People like You! We have a welcoming environment with a leadership team...
-
Project Coordinator
1 month ago
Wesley Chapel, United States SERVPRO of Fantastic Five, Inc. Full timeJob DescriptionJob DescriptionSERVPRO of West Pasco is hiring a Project Coordinator!BenefitsSERVPRO of West Pasco offers:Competitive compensationSuperior benefitsCareer progressionProfessional developmentAnd more!The Project Coordinator will work as a liaison for the customer to identify project requirements and specifications as well as administer and...
-
Lead Home Service Technician/Handyman
4 days ago
Wesley Chapel, United States TruBlue of Land O' Lakes Full timeJob DescriptionJob Description***$XXX sign-on bonus after 90-day probationary period. ***We provide:Year-round stable, steady workRegular work hoursFlexible schedulingTruBlue t-shirts, polos, and other company gear for the teamStrong office supportTruBlue Wesley Chapel & Land O' Lakes is a Home Ally Service company dedicated to providing premium handyman...