Director of Utilization

Acadia Healthcare•St. Augustine, FL

About The Position

Director of Utilization Management – New Behavioral Health Hospital near Jacksonville, FL - Opening Late Summer 2026 We are seeking an experienced Director of Utilization Management to d irect and manage the day-to-day operations of the Utilization Review department. Coastal Pines will be a modern, purpose-built facility and a cornerstone of behavioral health care in Northeast Florida, designed to meet the growing demand for high-quality psychiatric services in the region. The 144-bed behavioral health hospital, located in St. Johns, will offer a full continuum of services including inpatient psychiatric care, Partial Hospitalization Program (PHP), Intensive Outpatient Program (IOP), and Electroconvulsive Therapy (ECT). What We Offer: Our leaders are equipped with the tools, support, and benefits they need to thrive: Competitive compensation package including performance-based incentives Comprehensive medical, dental, and vision insurance 401(k) plan with company match through Acadia Healthcare Equity/stock-based incentive awards for long-term financial growth Generous paid time off including vacation, holidays, and sick days If you're ready to lead with purpose and drive lasting impact in the behavioral health space, we invite you to consider joining us at Coastal Pines Behavioral Health.

Requirements

Bachelor's Degree in nursing or other clinical field
Six or more year's clinical experience with the population of the facility preferred.
F our or more years ’ experience in utilization management
Three or more years of supervisory experience
If applicable, c urrent licensure as an LPN or RN within the state where the facility provides services; or current clinical professional license or certification, as , within the state where the facility provides services.

Nice To Haves

Master's Degree in clinical field preferred.

Responsibilities

Monitor utilization of services and optimize reimbursement for the facility while maximizing use of the patient’s provider benefits for their needs
Conducts and oversees concurrent and retrospective review s 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.
Perform other functions and tasks as assigned.