Director-Utilization Management
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Job Location:
Belton, TX - USA
Monthly Salary:
Not Disclosed
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
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:
- If applicable current licensure as an LPN or RN within the state where the facility provides services; or current clinical professional license or certification as required within the state where the facility provides services.
Required Experience:
Director
Key Skills
- Category Management
- Athletics
- Customer
- ABAP
- Hydraulics
- ITI
About Company
Acadia Healthcare operates a network of premier behavioral healthcare facilities in the United States and Puerto Rico. Offering multiple levels of care for all populations.
