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Utilization Review Director

Utilization Review Director

Oklahoma Department of Mental Health and Substance Abuse ServicesNorman, OK, US
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Job Description

Job Description

About the Position : The Utilization Review (UR) Director will oversee and coordinate utilization review activities across multiple facilities statewide. This role ensures compliance with the 60-day Medicaid benchmark, provides leadership and guidance to UR Coordinators, standardizes UR procedures, aligns internal policies with TJC and CMS standards, and supports staff during transitions or departmental shortages.

Job Type / Salary :

  • Application Period :   10 / 01 / 2025 until filled
  • Full-time
  • Annual Salary is $56,800 -  $65,000 depending on education and experience
  • Primary Working Hours are M-F; 8-5
  • FLSA Status : Exempt

Education & Experience Required :

Level I

  • Bachelorโ€™s degree, or an equivalent combination of education and professional-level experience (one year of experience may substitute for one year of education).
  • Level II

  • Masterโ€™s degree with one year of professional experience; OR
  • Bachelorโ€™s degree with two years of professional experience; OR
  • Equivalent combination of education and professional-level experience (one year of experience may substitute for one year of education).
  • Exceptional Benefits Package Includes :

    ๐ŸŒŸ Generous State-Paid Benefits Allowance for insurance premiums.

    ๐ŸŒŸ Multiple Health Insurance Plans with no exclusions for pre-existing conditions.

    ๐ŸŒŸ Flexible Spending Accounts for healthcare and dependent care.

    ๐ŸŒŸ Employee Assistance & Wellness Programs to support your well-being.

    ๐ŸŒŸ Paid Time Off โ€“ 11 paid holidays + 15 days of vacation & sick leave in the first year.

    ๐ŸŒŸ Retirement Savings Plan with employer match.

    ๐ŸŒŸ Longevity Bonus for years of service.

    ๐ŸŒŸ Student Loan Repayment Options to support your financial future.

    ๐ŸŒŸ Ongoing Training & CEU Opportunities to advance your career

    About us :

    Griffin Memorial Hospital (GMH), located in Norman, Oklahoma, is a 120-bed acute psychiatric hospital serving adults (ages 18+) with severe mental illness. As part of the Oklahoma Department of Mental Health and Substance Abuse Services (ODMHSAS), GMH provides inpatient psychiatric care and substance abuse treatment to individuals from all 77 counties across the state.

    Pre-Employment Requirements :

  • All safety-sensitive positions require drug and alcohol testing. Employment is contingent upon a negative test result.
  • Additional Information :

  • This agency provides coverage 24 / 7. Work hours and location may vary depending on business needs. Weekend and overtime work may be required.
  • Reasonable accommodations for individuals with disabilities are available upon request.
  • Equal Opportunity Employer.
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    Director Utilization Review โ€ข Norman, OK, US