DIR - UTILIZATION REVIEW / MGMT

UHS • Lyndon, KY

14h

About The Position

About The Brook Hospital - KMI:
Since 1985, The Brook Hospitals have been providing quality mental health and addiction treatment services. The Brook Hospitals have two outstanding facilities located in Louisville, Kentucky. The Brook – KMI is a 110-bed hospital offering a full continuum of inpatient, extended care, residential, partial hospitalization and outpatient services for children, adolescents, and adults. The Brook Hospitals prides itself upon the fact that our patients are referred directly to us by local professionals and organizations: physicians, psychologists, social workers, employee assistance professionals, community mental health centers, hospitals, schools, courts, social service agencies and managed care organizations. These direct referrals and our high patient and family satisfaction rates are a reflection of our effectiveness in treating mental illness and addictions.
Job Duties/Responsibilities:
The Director of Utilization Review/Management is responsible for directing and overseeing the Utilization Management Department which 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 organization, external reviewers, responsible for denial and appeals process and other payers. Directly supervises less than 10 employees. Carries out supervisory responsibilities in accordance with the organization’s policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
Benefits Highlights:
Loan Forgiveness Program if offered.
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.
Career development opportunities within UHS and its 300+ Subsidiaries! · More information is available on our Benefits Guest Website: www.benefits.uhsguest.com
About Universal Health Services:
One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $15.8 billion in 2024. UHS was again recognized as one of the World’s Most Admired Companies by Fortune; listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

Requirements

• Bachelor's degree from an accredited school in Social Services or Psychiatric.
• 3 to 5 years of related experience.

Nice To Haves

• Master's degree from an accredited school in Social Services or Psychiatric.
• Licensed RN to practice in the state of Kentucky.
• LMHC, LCSW
• 5 to 8 years of related experience.

Responsibilities

• The Director of Utilization Review/Management is responsible for directing and overseeing the Utilization Management Department which 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 organization, external reviewers
• responsible for denial and appeals process and other payers
• Directly supervises less than 10 employees
• Carries out supervisory responsibilities in accordance with the organization’s policies and applicable laws
• Responsibilities include interviewing, hiring, and training employees; planning assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

Benefits

• Loan Forgiveness Program if offered.
• 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.
• Career development opportunities within UHS and its 300+ Subsidiaries!

What This Job Offers

• Job Type: Full-time
• Career Level: Director