What are the responsibilities and job description for the Utilization Review Director position at Ethan Crossing of Cleveland?
Shift: Momday-Friday
Hours: 8:00am-4:30pm / 9:00am-5:00pm
CDCA preferred
Perks at Work
Healthcare:
- Medical Packages with Rx – 3 Choices
- Flexible Spending Accounts (FSA)
- Dependent Day Care Spending Accounts
- Health Spending Accounts (HSA) with a company match
- Dental Care Program – 2 choices
- Vision Plan
- Life Insurance Options
- Accidental Insurances
- Paid Time Off Paid Holidays
- Employee Assistance Programs
- 401k with a Company Match
Education Leadership Development
- Up to $15,000 in Tuition Reimbursements
- Student Loan Forgiveness Programs
The Role Itself
- Oversees service requests, authorizations and LOS metrics.
- Reviews documentation quality for clinical effectiveness in regards to reimbursement.
- Participates in clinical team for goal alignment and compliance.
- Manages patient transitions between LOC and updates denial log.
- Develops processes to minimize denials and provides education.
- Possesses strong knowledge of external review organizations.
- Facilitates UM team meetings.
Education:
- Related and relevant field experience
- Or Bachelor's Degree in Nursing, Social Work, Mental Health/Behavioral Sciences,
- Or Master's Degree
- Must be 21 yrs or older
License:
- LPN, RN, LMSW, LPC, BSW, LSW, LPCC, LISW or applicable license preferred.
Who we are
The mission is to inspire hope and deliver holistic care to those in need of behavioral health and Substance Use Disorder services in a safe and healing environment – one that is conducive to providing the life skills needed to regain stability and independence. With a blend of group therapy, clinical treatment and unique surroundings, we provide a serene environment that promotes rehabilitative and emotional health, and are devoted to promoting greater peace of mind on the journey of hope and healing.
Ethan’s Story:
The care and compassion in this community is inspired by the life of a sweet boy who lived, loved and was loved by many, but is no longer here to see the sun rise again.
Like so many others, Ethan had his share of struggles; family hardship, difficulty finding his place in this world and trouble realizing his life’s dreams and aspirations. The confluence of his life circumstances led him to depression and addiction, which ultimately took his life at the tender age of twenty-two. Ethan Crossing Recover seeks to honor his life by providing for others, which he did not have; a family system that understands, supports and is there for the lifelong journey of sustainable recover.
