Manager of Utilization Management
Manager of Utilization Management
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Salary Not Disclosed
1 Vacancy
Job Description
ESSENTIAL JOB FUNCTIONS:
Provide consultation and guidance regarding admissions and patient length of stay to a variety ofpayers.
Secure authorizations with insurance companies for inpatient treatment and continue to obtain authorizations for duration of patient stay.
Evaluate the utilization program for compliance with regulations policies and procedures.
Review clinical documentation from denied stays against criteria to determine if documentation isadequate for requested treatment.
Provide staff management to including hiring development training performance management andcommunication to ensure effective and efficient department operation.
REQUIREMENTS:
- Bachelors degree required.
- One or more years supervisory experience required.
- Four or more years clinical experience with the population of the facility and previous experience in
utilization management required. - Teamwork and excellent customer service
- CPI and CPR Certifications (offered on site)
- Bachelors or masters degree in social work behavioral or mental health Nursing or other related health field preferred.
- Licensed Clinician preferred
BENEFITS:
- UMR Health Insurance (3 plans to choose from eligible after 30 days of employment)
- Delta Dental (2 plans to choose from)
- VSP Vision Insurance
- Paid life and AD&D insurance
- 401k with a matching contribution
- Paid Vacation/Sick/Extended Sick/Personal/Holiday time
- Short term and Long term disability
- License/certification renewal and CEU reimbursement
- Free onsite employee fitness center
- Free meals
- Employee Discount program
- Employee Fun events
- Annual performance review and Merit increase review
- Salary increases for obtaining education degrees professional certification and/or licensure (based on program of study/field of certification and licensure)
- License/Certification renewal and CEU reimbursement
For the 5th consecutive year Wilmington Treatment Center has been recognized by Newsweek magazine as one of the best Addiction Treatment Centers in the US. We are North Carolinas premier substance abuse recovery hospital and rehabilitation center located in the beachside community of Wilmington NC. What began as a 22 bed hospital on one campus in 1984 has grown into a 260 bed hospital spanning 3 campuses - and we are still growing! We are a team of professionals dedicated to helping our patients begin their recovery from the disease of addiction. Even though we are growing we still maintain that feeling of a close-knit community. We offer a fantastic comprehensive benefit package a great team of co-workers as well as the opportunity to make a difference in the lives of those we serve.
Required Experience:
Manager
Employment Type
Full-Time
