Director-Utilization Management
Director-Utilization Management
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Salary Not Disclosed
1 Vacancy
Job Description
We are looking for a fulltime Director of Utilization Management to join the SRC team!
This position will be working in person located at our facility in Center Point Texas.
For over 67 years Starlite Recovery Center has been providing adult clients in the heart of the Hill Country in Center Point Texas with caring and highly effective drug rehab for substance abuse alcohol addiction and cooccurring issues.
Starlite Recovery Center is part of the Acadia Healthcare system a provider of addiction behavioral and mental health treatment facilities in the United States and Puerto Rico.
BENEFITS:
- Medical dental and vision insurance
- Acadia Healthcare 401(k) plan with employer contribution
- Professional growth opportunity that is second to none in the industry. Join a team with defined career paths and a national family of hospitals and facilities as part of the Acadia Healthcare family
PURPOSE STATEMENT:
Direct and manage the daytoday operations of the Utilization Review department.
ESSENTIAL FUNCTIONS:
- Monitor utilization of services and optimize reimbursement for the facility while maximizing use of the patients 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 UM 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.
OTHER FUNCTIONS:
- Perform other functions and tasks as assigned.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
- Bachelors Degree in nursing or other clinical field required. Masters Degree in clinical field preferred.
- Six or more years clinical experience with the population of the facility preferred.
- Four or more years experience in utilization management required.
- Three or more years of supervisoryexperience required.
LICENSES/DESIGNATIONS/CERTIFICATIONS:
- Current licensure LPN or RN in the state of Texas; or current clinical professional license or certification as required within the state where the facility provides services.
Required Experience:
Director
Employment Type
Full-Time
