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Director of Utilization Management

2 months ago

Bloomfield Twp MI USA, United States Acadia Healthcare Inc. Full time
Utilization Review Specialist

Acadia Healthcare Inc. is seeking a highly skilled Utilization Review Specialist to optimize reimbursement and ensure the best possible care for our patients.

  • Optimize Reimbursement and Patient Care
  • Concurrent and Retrospective Reviews
  • Liaison and Collaboration
  • Staff Management and Development
  • Program Evaluation and Compliance

Key Responsibilities:

  • Develop and implement strategies to optimize reimbursement and patient care
  • Conduct and oversee concurrent and retrospective reviews to ensure compliance with regulations and policies
  • Collaborate with physicians, therapists, and nursing staff to provide optimal review
  • Provide staff management, including hiring, development, training, performance management, and communication
  • Evaluate the UM program for compliance with regulations, policies, and procedures

Requirements:

  • Strong analytical and problem-solving skills
  • Excellent communication and collaboration skills
  • Ability to work in a fast-paced environment
  • Strong attention to detail and organizational skills