Director of Utilization Management
1 month ago
We are seeking a highly skilled and experienced Director of Utilization Management to join our team at River Point Behavioral Health. As a key member of our leadership team, you will be responsible for overseeing the Utilization Management Department, ensuring the provision of effective treatment plans for all patients, and interfacing with managed care organizations, external reviewers, and other payers.
Key Responsibilities:
- Direct and oversee the Utilization Management Department
- Implement case management scenarios and consult with all services to ensure effective treatment plans
- Oversee responses to requests for services and interface with managed care organizations, external reviewers, and other payers
- Directly supervise less than 5 employees and carry out supervisory responsibilities in accordance with the organization's policies and applicable laws
Requirements:
- Registered Nurse, Master's Degree in Social Work or Psychology, or equivalent education and experience in Utilization Review/Management
- Knowledge of regulatory and reimbursement requirements
- Able to monitor and evaluate records for quality and appropriateness of care
- Able to work independently and collegially with all clinical disciplines and staff within the hospital
- Demonstrates leadership ability, good communication skills, ability to delegate and supervise
Benefits:
- Challenging and rewarding work environment
- Competitive Compensation & Generous Paid Time Off
- Excellent Medical, Dental, Vision and Prescription Drug Plans
- 401(K) with company match and discounted stock plan
- Career development opportunities within UHS and its 328+ Subsidiaries
- Educational Reimbursement and Assistance (FT Employees)
River Point Behavioral Health is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating a work environment that is inclusive and respectful of all employees.
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