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Director-Utilization Management
Director-Utilization ManagementAcadia Healthcare • Cathedral City, CA, US
Director-Utilization Management

Director-Utilization Management

Acadia Healthcare • Cathedral City, CA, US
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Director - Utilization Management

Come join our team as Director - Utilization Management at Coachella Valley Behavioral Health! As part of our team, you will be responsible for the day to day operations of the utilization review department. You'll also know that you are playing a vital role in an organization that is providing an essential service to those in our community.

We offer a full suite of benefits ranging from :

  • Competitive Pay Rate
  • Paid Time Off
  • Paid Holidays
  • Medical, Dental, & Vision Insurance
  • FSA & HSA Plans
  • Long-Term & Short-Term Disability
  • Company Paid Life Insurance
  • Supplemental Life Insurance
  • Employee Assistance Program
  • Employee Discount Program
  • 401(k) Retirement Plan with Company Match

Salary Range : $101,500 to $125,000 DOE

This position required daily attendance on site - no remote work available

Coachella Valley Behavioral Health, a new premier inpatient treatment center for adults age 18 and older, is opening soon and will set the standard for nursing care in behavioral health. Our 80-bed hospital offers comprehensive training, dynamic leadership, and personalized support so you can achieve your greatest potential.

Director - Utilization Management responsibilities include :

  • 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 reviews for all patients.
  • Act as a liaison between Medicaid reviewers and the staff completing required paperwork to facilitate the Utilization Review process.
  • Collaborate with physicians, therapist and nursing staff to provide optimal review based on patient needs.
  • Collaborate with ancillary services in order to prevent delays in services.
  • Evaluate 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.
  • Education / Experience / Skill Requirements :

  • Bachelor's Degree in nursing or other clinical field required. Master's Degree in clinical field preferred.
  • Six or more year's clinical experience with the population of the facility preferred.
  • Four or more years' experience in utilization management required.
  • Three or more years of supervisory experience required.
  • Licenses / Designations / Certifications :

    If applicable, current licensure as an LPN or RN within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services.

    Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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    Management • Cathedral City, CA, US

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