Director of Utilization Management

1 month ago


Jacksonville, Florida, United States River Point Behavioral Health Full time
River Point Behavioral Health: A Leader in Mental Health Care

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.



  • Jacksonville, Florida, United States River Point Behavioral Health Full time

    River Point Behavioral Health is a leading provider of behavioral health services, seeking a highly skilled and experienced Director of Utilization Management to join our team of dedicated healthcare professionals.Position Summary:The Director of Utilization Management is responsible for overseeing the Utilization Management Department, ensuring the...


  • Jacksonville, Florida, United States The CSI Companies Full time

    Case Management Manager Job DescriptionWe are seeking a highly skilled and experienced Case Management Manager to join our team at The CSI Companies. This in-office role will be responsible for overseeing a multitude of beds with expected growth in the near future.Key Responsibilities:Staffing and Scheduling: Responsible for staffing and scheduling for...


  • Jacksonville, Florida, United States LaBine and Associates Full time

    Job DescriptionFULLTIME opportunity for a Director of Case Management at LaBine and Associates.This Case Management Director has the overall responsibility for managing and coordinating department activities. The Director ensures staff compliance with organizational policies and external regulatory agencies and takes leadership responsibility to coordinate...


  • Jacksonville, Florida, United States Mental Health Resource Center Inc Full time

    Job SummaryMental Health Resource Center Inc is seeking a skilled Clinical Utilization Management Specialist to join our team. As a key member of our utilization management team, you will play a critical role in ensuring the efficient and effective use of clinical resources.ResponsibilitiesReview medical records and attend treatment team meetings to assess...


  • Jacksonville, Florida, United States FPI Management, Inc. Full time

    Job OverviewFPI Management, Inc. is seeking a seasoned Affordable Housing Leasing Director, Multifamily Property Operations to oversee the daily activities of the leasing operations department. This role is ideal for a motivated professional with experience in affordable housing programs, including LIHTC, HUD programs, and USDA-Rural Development.Key...


  • Jacksonville, Florida, United States Generis Tek Inc Full time

    Director Case Management Job DescriptionGeneris Tek Inc is seeking a highly skilled Director of Case Management to join our team. As a key member of our organization, you will be responsible for managing and coordinating department activities, ensuring staff compliance with organizational policies and external regulatory agencies.Key Responsibilities:Direct...


  • Jacksonville, Florida, United States Stellar Energy Americas Inc Full time

    Job DescriptionStellar Energy Americas Inc. is seeking a highly skilled Human Resources Director to lead our HR functions and drive business success.This is a full-time position responsible for directing, organizing, planning, and developing the implementation and administration of human resources functions.The ideal candidate will have a bachelor's degree...


  • Jacksonville, Florida, United States Generis Tek Inc Full time

    Job Title: Director of Case ManagementWe are seeking a highly skilled and experienced Director of Case Management to join our team at Generis Tek Inc. The successful candidate will be responsible for leading our case management department and ensuring the delivery of high-quality patient care.Key Responsibilities:Direct and evaluate departmental operations,...


  • Jacksonville, Florida, United States Next Move Healthcare Full time

    Job Title: Director of Case ManagementNext Move Healthcare is seeking a skilled Director of Case Management to lead our case management department. As a key member of our leadership team, you will be responsible for overseeing the operational activities of the department, ensuring seamless integration of patient care and discharge planning processes across...

  • Development Director

    4 weeks ago


    Jacksonville, Florida, United States JDRF Full time

    Job SummaryWe are seeking a highly skilled Development Director to join our team at JDRF. As a key member of our fundraising team, you will be responsible for developing and implementing strategic plans to increase revenue and support our mission to cure type 1 diabetes.The ideal candidate will have a proven track record of success in fundraising, event...


  • Jacksonville, Florida, United States The Church of Eleven22 Full time

    Job Title: Communications Project ManagerMinistry/Department: CommunicationsReports to: Communications DirectorStatus: Full-time, exemptSupervisory Role: NoObjectiveDevelop and execute strategic communication plans to support churchwide initiatives and ministry areas. Collaborate with ministry teams to brainstorm creative ideas and implement effective...


  • Jacksonville, Florida, United States Downtown Vision Inc. Full time

    Job SummaryThe Director of Research will lead the implementation and facilitation of all research functions for Downtown Vision, Inc. as a primary source for data and analysis concerning the revitalization of Downtown Jacksonville. The Director will maintain a thorough and current understanding of best practices in evaluating urban revitalization...


  • Jacksonville, Florida, United States Mental Health Resource Center Inc Full time

    Job SummaryMental Health Resource Center Inc is seeking a skilled Clinical Utilization Reviewer to join our team. As a key member of our utilization management team, you will play a critical role in ensuring the quality and efficiency of our clinical services.Key ResponsibilitiesReview medical records to ensure compliance with established criteria and...


  • Jacksonville, Florida, United States Mental Health Resource Center Inc Full time

    Job SummaryMental Health Resource Center Inc is seeking a skilled Clinical Utilization Specialist to join our team. As a key member of our team, you will be responsible for monitoring the utilization of clinical services provided at Mental Health Resource Center (MHRC), using predetermined criteria, review of medical records, and regular participation in...

  • Project Director

    4 weeks ago


    Jacksonville, Florida, United States Framework - Construction Recruiting Full time

    Job Title: Project DirectorJob Summary:Leveraging our established reputation in residential construction, Framework - Construction Recruiting aims to bring the same quality and integrity to commercial projects. Our leadership focuses on excellence, detail, and personalized service, specializing in high-quality commercial properties including retail,...


  • Jacksonville, Florida, United States Surgery Care Affiliates Full time

    Surgery Care Affiliates is a leading healthcare provider with a team of 11,000 professionals who care for over 1 million patients annually.We strive to deliver high-quality patient care and a better experience for both patients and providers, all while reducing costs.Our Director of Nursing will oversee all aspects of nursing care delivery in our facilities,...


  • Jacksonville, Florida, United States TOTE Services LLC Full time

    Job Description:The Director of Ship Management at TOTE Services LLC leads the vessel operations team by promoting a positive safety culture, ensuring regulatory compliance, and supporting the vessel Master and crew. This role is responsible for vessel efficiency and reliability by managing daily operations, including cost, schedule, and budget.Key...


  • Jacksonville, Florida, United States Mental Health Resource Center Inc Full time

    Job SummaryMental Health Resource Center Inc is seeking a skilled Clinical Utilization Specialist to join our team.The ideal candidate will have experience in psychiatric nursing and be able to review medical records, attend treatment team meetings, and communicate with insurers and third-party payers.ResponsibilitiesReview medical records and attend...


  • Jacksonville, Florida, United States The CSI Companies Full time

    We are seeking a highly skilled and experienced Case Management Manager to join our team at The CSI Companies. This in-office role will be responsible for overseeing a multitude of beds with expected growth in the near future. The Case Management Manager will play a crucial role in the expansion of our facility with the expectation to maintain strong...


  • Jacksonville, Florida, United States Environmental Consultants (ECI) Full time

    About the RoleEnvironmental Consultants (ECI) is seeking a highly skilled Distribution Utility Forester to join our team. As a key member of our vegetation management team, you will be responsible for advancing a culture of safety and excellence while providing quality and value to our customers and clients.Key ResponsibilitiesCommunicate with property...