River Point Behavioral Health is seeking a talented and dynamic Director of Utilization Management to join our team of dedicated healthcare professionals!
River Point Behavioral Health, a subsidiary of UHS, is an 84-bed treatment facility, conveniently located in beautiful central Jacksonville, FL that specializes in the successful treatment of substance abuse and mental health issues for youth, adults and seniors. Our progressive team members in the fields of psychiatry, medicine, nursing, social services, education and activity therapy are all committed to provide compassionate, comprehensive care that uniquely fits the intensity and severity of each patient’s needs.
Position Summary:
The Director of Utilization Management is responsible for directing and overseeing the Utilization Management Department which includes the implementation of case management scenarios, consulting with all services to ensure the provision of an effective treatment plan for all patients, overseeing the response to requests for services and interfacing with managed care organizations, external reviewers, and other payers. The Director is responsible for departmental reports and monitoring, PI Initiatives, participates in the AOC rotation, committees and other teams as assigned.
Directly supervises less than 5 employees. Carries out supervisory responsibilities in accordance with the organization’s policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
Requirements:
- Registered Nurse, Master’s Degree in Social Work or Psychology or equivalent education and experience in Utilization Review/Management.
- Has knowledge of regulatory and reimbursement requirements.
- Able to monitor and evaluate records for quality and appropriateness of care.
- Able to work independently and collegially with all clinical disciplines and staff within the hospital.
- Demonstrates leadership ability, good communication skills, ability to delegate and supervise.
Job Type: Full-time
Work Location: In person
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