What are the responsibilities and job description for the Director-Utilization Management position at CRC ED Treatment?
Direct and manage the day-to-day operations of the Utilization Review department. Position can be worked hybrid or fully remote. This is a full time, exempt position.
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.
- Evaluates 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.
Benefits Include: (depending on the number of worked)
- Health insurance
- Paid time off
- Dental insurance
- 401(k)
- Vision insurance
- Flexible schedule
- Life insurance
- 401(k) matching
- Employee discount
- Flexible spending account
- Health savings account
- Parental leave
- Employee assistance program
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.
Compensation for roles at Montecatini varies depending on a wide array of factors including but not limited to the specific location, role, skill set, and level of experience. As required by local law, Montecatini provides a reasonable hourly range of compensation for roles that may be hired in California as set forth below.
Role Location: California, Remote option available
Calculated Salary Range for role.
California: $83,200 to $93,600
Education
Required- Masters or better in Psychology or related field
- Bachelors or better in Psychology or related field
Skills
Preferred- Oral Communication
- Attention to Detail
- Leadership
- Planning & Organizing
Behaviors
Preferred- Team Player: Works well as a member of a group
- Leader: Inspires teammates to follow them
- Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)
Salary : $83,200 - $93,600
