Director of Utilization On-Site

Burkwood Treatment Center • Hudson, WI

1d • Onsite

About The Position

Burkwood Treatment Center is seeking an experienced Director of Utilization for a 100% on-site position at its facility in Hudson, Wisconsin. The Director leads and manages the day-to-day operations of the Utilization Review department.

Burkwood Treatment Center provides outpatient and residential addiction treatment for adults, including care for substance abuse and certain co-occurring disorders. The center has supported adults pursuing long-term recovery for over 25 years.

Requirements

• Bachelor's degree in nursing or another clinical field.
• Four or more years of experience in utilization management.
• Three or more years of supervisory experience.
• If applicable, current LPN or RN licensure in the state where the facility provides services, or a current clinical professional license or certification required in that state.

Nice To Haves

• Master's degree in a clinical field.
• Six or more years of clinical experience with the facility's population.

Responsibilities

• Direct and manage the day-to-day operations of the Utilization Review department.
• Monitor utilization of services and optimize facility reimbursement while maximizing use of patient provider benefits.
• Conduct and oversee concurrent and retrospective reviews for all patients.
• Liaise between Medicaid reviewers and staff completing required paperwork to facilitate the Utilization Review process.
• Collaborate with physicians, therapists, and nursing staff to provide reviews based on patient needs.
• Collaborate with ancillary services to prevent delays in services.
• Evaluate the utilization management program for compliance with regulations, policies, and procedures.
• Review charts and make recommendations to physicians regarding utilization review and specific managed care issues, as needed.
• Manage staff, including hiring, development, training, performance management, and communication, to ensure effective and efficient department operations.
• Perform other functions and tasks as assigned.

Benefits

• Medical insurance
• Dental insurance
• Vision insurance
• Health Savings Account (HSA) and Flexible Spending Account (FSA) options
• Company-paid basic life and AD&D insurance
• Disability benefits
• 401(k) retirement plan with company match
• Employee Assistance Program (EAP)
• Employee Discount Program
• Paid holidays
• Paid Time Off (PTO)
• Tuition reimbursement

What This Job Offers

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