Supervisor Behavioral Health Utilization Review

Saint Lukes Crittenton Childrens Center in South Kansas City MO is seeking a Supervisor of Behavioral Health Utilization Review to join our team.

This role facilitates and directs the Utilization Review Department Case Management and Reception teams of a 24/7 inpatient residential and hospital program. Additionally ensures compliance with all pertinent regulations analyzes trends related to denials & authorizations builds strong relationships with third party payers. Positive relationships with physicians nursing supervisors and senior administration are required to ensure empathic and timely response to individual patient and community needs.

Job Details:

• Monday Friday dayshift 9am -5pm. Remote work not preferred but occasional opportunity must be primarily onsite. No weekend or holiday rotations.
• Supervises and completes daily operations as assigned by Manager of Intake and Utilizations Review.
• Oversees resources and functions related to utilization review and regulatory compliance adherence.
• Responsible for training of staff discipline and evaluations.
• Monitors and maintains data to achieve quality outcomes and progression with the departmental strategic plan.
• Collaborates and communicates with the multidisciplinary team to ensure communication of patients treatment to the managed care provider.
• Review clinical charts in order to file appeals on denied accounts.
• Oversees scheduling and supervision needs for the Reception team.
• Must have a masters degree and current clinical licensure for State of Missouri (LPC or LCSW)
• 1-3 years in a leadership or team lead role preferred
  

Applicable Experience:

The best place to get care. The best place to give care. Saint Lukes 12000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based nonprofit locally owned health system in Kansas City. Joining Saint Lukes means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter.

Join the Kansas City regions premiere provider of health services. Equal Opportunity Employer.