MGR - UTILIZATION REVIEW / MGMT

UHSBloomington, IN
Onsite

About The Position

The Utilization Management Manager oversees utilization management including, but not limited to: utilization review, case documentation, payer relationships, regulatory requirements, staff management and department administration. Supports the overall success of the hospital and promotes patient satisfaction, regulatory compliance and optimal reimbursement.

Requirements

  • Registered Nurse license or Master's Degree.
  • 5-7 years acute inpatient psychiatric setting as a treatment team member experience.
  • 3-5 years of experience in utilization management for both mental health and substance abuse behavioral health disorders experience.

Responsibilities

  • Oversees utilization management including utilization review, case documentation, payer relationships, regulatory requirements, staff management and department administration.
  • Supports the overall success of the hospital.
  • Promotes patient satisfaction, regulatory compliance and optimal reimbursement.
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