Director of Utilization Management
2 days ago
Sunrise Vista is seeking an experienced Director of Utilization Management to join our team in a therapeutic hospital setting. As a key member of our leadership team, you will be responsible for overseeing the Utilization Management Department for Inpatient and Outpatient Services.
Key Responsibilities- Oversee the precertification and recertification process, peer to peer reviews, and appeals.
- Ensure an appropriate discharge plan is in place for each patient discharge.
- Accurately report the authorization status of patients, denials, and appeals status to the CEO, CFO, and Business Office staff.
- Ensure all UM staff follow department and facility procedures and ensure effective communication with all relevant departments regarding patient care needs.
- Bachelor's Degree in Nursing, Social Work, Mental Health/Behavioral Sciences, or related field required; Master's Degree preferred.
- Direct clinical experience in a psychiatric or mental health treatment setting, including managing a related function preferred.
- Experience in patient assessment, family motivation, treatment planning, and communication with external review organizations or comparable entities.
Sunrise Vista offers a competitive market wage, a full robust package around Healthcare, Life Balance, Education, Leadership Development, and Recognition. Our team members enjoy a variety of perks, including medical packages, flexible spending accounts, dependent day care spending accounts, health spending accounts, dental care programs, vision plans, life insurance options, accidental insurances, paid time off, paid holidays, employee assistance programs, and 401k with a company match.
Why Join UsSunrise Vista is committed to inspiring hope, restoring peace of mind, and healing lives. We are a team of passionate and highly trained professionals dedicated to providing holistic care to those in need of behavioral health services. If you are a motivated and experienced professional looking for a challenging yet rewarding environment, we encourage you to apply for this exciting opportunity.
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