Supervisor Behavioral Health Utilization Review
About The Position
Saint Luke’s Crittenton Children’s Center in South Kansas City, MO is seeking a Supervisor of Behavioral Health Utilization Review to join our team. This role facilitates and directs the Utilization Review Department, Case Management and Reception teams of a 24/7 inpatient residential and hospital program. Additionally, ensures compliance with all pertinent regulations, analyzes trends related to denials & authorizations, builds strong relationships with third party payers. Positive relationships with physicians, nursing supervisors and senior administration are required to ensure empathic and timely response to individual patient and community needs.
Requirements
- Must have a master's degree and current clinical licensure for State of Missouri (LPC or LCSW)
- 2 years Licensed Professional Counselor - Various Master's Degree
Nice To Haves
- 1-3 years in a leadership or team lead role preferred
Responsibilities
- Supervises and completes daily operations as assigned by Manager of Intake and Utilizations Review.
- Oversees resources and functions related to utilization review and regulatory compliance adherence.
- Responsible for training of staff, discipline and evaluations.
- Monitors and maintains data to achieve quality outcomes and progression with the departmental strategic plan.
- Collaborates and communicates with the multidisciplinary team to ensure communication of patient’s treatment to the managed care provider.
- Review clinical charts in order to file appeals on denied accounts.
- Oversees scheduling and supervision needs for the Reception team.
Benefits
- Saint Luke’s Health System values our employees
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
