What are the responsibilities and job description for the Utilization Review Manager position at BridgePoint Healthcare?
Job Details
Description
UTILIZATION REVIEW MANAGER
BridgePoint Healthcare
At BridgePoint, whether you work with patients every day or support those who do, you are making a difference that matters. We know the path to recovery doesn't happen alone. As a team, we work cohesively to meet each patients unique needs. We are a team-driven environment and we care about our own!
Our employees form the foundation of everything we do optimizing patient healing and wellness, and creating a warm and welcoming environment. It is because of the dedication of our employees that we can live out our mission, vision, and company values every day.
It is at BridgePoint where care, community, and careers happen.
UTILIZATION REVIEW MANAGER JOB SUMMARY:
Here at BridgePoint, the Utilization Review Manager is responsible for the centralized admissions department and ensures processes support appropriate access to healthcare services for Bridgepoint Healthcare District of Columbia locations. The Utilization Review Manager will be accountable for developing, implementing and monitoring day-to-day operations that ensure (1) timely review of referrals for care (2) accurate capture and verification of insurance coverage/benefits and (3) clinical review to ensure admissions meet criteria for LTAC or SNF services. The Utilization Review Manager will inform the strategic direction of the department and provide ongoing feedback on process improvement to ensure the highest quality of services for patients, providers, and payers.
Utilization Review Manager, UR Manager, Case Manager, Hospital Case Manager, Hospital Utilization Review, RN, Registered Nurse, PT, OT, SLP, LPN, Nurse, Therapist
Qualifications
Education: BSN / Respiratory Therapist / PT / OT / SLP / LPN required.
Licenses/Certification: Current Nursing, Respiratory Therapy, PT/OT/SLP license.
Experience: Minimum of three (3) years case management experience to include leadership and management. Minimum of five (5) years acute care clinical experience.
Safety Sensitive-Designated Positions
About BridgePoint
BridgePoint Healthcare is dedicated to promoting healing and wellness in a safe and welcoming environment, with an individualized path to recovery for each patient. BridgePoint Healthcare provides patient-centered, individualized care for patients requiring longer hospitalizations in post-acute care settings. We are a diversified provider of post-acute care in settings ranging from long-term acute care hospitals to skilled nursing facilities. Our locations include two in Washington, DC (BridgePoint Hospital National Harborside and BridgePoint Hospital Capitol Hill), and one in New Orleans (BridgePoint Continuing Care Hospital - West Jefferson Campus).
