Director of UtilizationAcadia Healthcare • North Port, FL, US
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Director of Utilization
Acadia Healthcare • North Port, FL, US
1 day ago
Job type
- Full-time
Job descriptionPerform other functions and tasks as assigned. 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. 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.
Utilization Review Manager
Direct and manage the day-to-day operations of the Utilization Review department.
Essential Functions :
- 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.
- Collaborates with physicians, therapist and nursing staff to provide optimal review based on patient needs.
- Collaborates with ancillary services in order to prevent delays in services.
Other Functions :
Education / Experience / Skill Requirements :
Licenses / Designations / Certifications :
We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.
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Director Utilization • North Port, FL, US
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