Demo

Director of Utilization Management

Aurora Behavioral Health System
Glendale, AZ Full Time
POSTED ON 2/24/2025
AVAILABLE BEFORE 5/22/2025

Job description

Exciting opportunity to lead the UR Department in our 100 bed acute care behavioral health hospital!

Aurora Behavioral Health System, the state's largest free-standing psychiatric hospital system, is dedicated to providing quality behavioral health services for its diverse population of adults and adolescents. We are committed to our teamwork approach providing a compassionate and therapeutic environment throughout our inpatient, partial and outpatient services. ABHS is looking for an experienced Director of Utilization Management for our Glendale Hospital.

INDHIGH

Responsibilities / Job Duties :

  • Responsible for overseeing prior authorization, concurrent review, retro review and appeals processes.
  • Identifies opportunities to improve clinical care, customer service and internal business processes.
  • Oversees and leads process improvement efforts
  • Drive initiatives that contribute to long-term operational excellence in quality care and financial outcomes
  • Ability to communicate with payers and external customers to ensure timely, accurate medical necessity reviews and appeals are completed.
  • Ability to communicate with internal customers (physicians, social services teams).

Requirements

  • Clinical degree such as nursing, social work, psychology or other related healthcare field preferred
  • Experience with Utilization Management processes.
  • Minimum of two (2) years of experience in a managed care environment.
  • Knowledge of inpatient and outpatient behavioral health clinical practice criteria preferred.
  • Proficient Microsoft Office computer skills.
  • Knowledge of medical terminology.
  • Experience ensuring compliance within regulated timeframes.
  • Working knowledge of compliance with state & federal regulations
  • Strong, committed work ethic and dedication to achieving optimal results.
  • Strong leadership and communication skills.
  • Critical thinker and problem solver.
  • Highly motivated individual with the ability to work independently.
  • Excellent verbal and written communication skills.
  • Strong analytical, problem-solving, time management and organizational skills.
  • Must be 21 years of age, and meet qualifications for an Arizona Fingerprint Clearance Card. We offer competitive compensation and benefits. ABHS is an Equal Opportunity Employer.

    Job Type : Full-time

    Benefits :
  • 401(k)
  • Dental insurance
  • Disability insurance
  • Employee assistance program
  • Employee discount
  • Flexible spending account
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid time off
  • Professional development assistance
  • Vision insurance
  • Schedule :
  • Day shift
  • Monday to Friday
  • Education :

  • Master's (Preferred)
  • Experience :

  • Leadership : 2 years (Required)
  • Utilization management : 5 years (Required)
  • Work Location : In person

  • Must be able to pass a drug screen and physical
  • Must be eligible for a fingerprint clearance card
  • If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution. Compensation Planning
    Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right. Surveys & Data Sets

    What is the career path for a Director of Utilization Management?

    Sign up to receive alerts about other jobs on the Director of Utilization Management career path by checking the boxes next to the positions that interest you.
    Income Estimation: 
    $69,387 - $87,587
    Income Estimation: 
    $129,132 - $174,611
    Income Estimation: 
    $64,196 - $89,573
    Income Estimation: 
    $69,387 - $87,587
    Income Estimation: 
    $82,286 - $101,931
    Income Estimation: 
    $125,318 - $172,627
    Income Estimation: 
    $172,758 - $250,675
    View Core, Job Family, and Industry Job Skills and Competency Data for more than 15,000 Job Titles Skills Library

    Job openings at Aurora Behavioral Health System

    Aurora Behavioral Health System
    Hired Organization Address Tempe, AZ Full Time
    Job Description Job Description Job description Come join our team of competent and compassionate professionals at Auror...
    Aurora Behavioral Health System
    Hired Organization Address Tempe, AZ Full Time
    Come join our team of professionals at Aurora Behavioral Health System. This 100-bed free standing psychiatric inpatient...
    Aurora Behavioral Health System
    Hired Organization Address Glendale, AZ Full Time
    Job Description Come join our team of professionals at Aurora Behavioral Health System. These free-standing psychiatric ...
    Aurora Behavioral Health System
    Hired Organization Address AZ Full Time
    Come join our team of competent and compassionate professionals at Aurora Behavioral Health System. ABHS, Arizona's larg...

    Not the job you're looking for? Here are some other Director of Utilization Management jobs in the Glendale, AZ area that may be a better fit.

    Manager, Utilization Management

    TriWest Healthcare Alliance, Phoenix, AZ

    Manager, Utilization Management

    Triwest Healthcare, Phoenix, AZ

    AI Assistant is available now!

    Feel free to start your new journey!