DIR - UTILIZATION REVIEW / MGMT

UHS • Cape Girardeau, MO

4d

About The Position

The Director of Utilization Review is responsible for directing and overseeing the Utilization Review Program for In Patient and Out Patient services. This includes the implementation of case management scenarios, consulting with all services to ensure the provision of an effective treatment plan for all patients, oversees the response to requests for services and interfaces with managed care organizations, external reviewers, and other payors.

Requirements

• Degree in nursing, social work, mental health/behavioral sciences, or related field. Combination of education and experience may be considered.
• A minimum of five (5) years’ direct clinical experience in a psychiatric or mental health treatment setting preferred.
• A minimum of one year of managing a related function is preferred.
• Experience in patient assessment, family motivation, treatment planning and communication with external review organizations or comparable entities.
• LMSW, LPC, RN or LVN licensure is required.

Responsibilities

• directing and overseeing the Utilization Review Program for In Patient and Out Patient services
• implementation of case management scenarios
• consulting with all services to ensure the provision of an effective treatment plan for all patients
• oversees the response to requests for services
• interfaces with managed care organizations, external reviewers, and other payors

Benefits

• Challenging and rewarding work environment
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match and discounted stock plan
• SoFi Student Loan Refinancing Program
• Career development opportunities within UHS and its 300+ Subsidiaries!
• Tuition Assistance

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 1,001-5,000 employees