What are the responsibilities and job description for the Operations Manager, UM Department position at Great Oaks Recovery Center?
Job Overview
The Utilization Management Manager is responsible for overseeing the overall management of the UM department. This role involves leading and facilitating review of assigned admissions, continued stays, utilization practices, and discharge planning according to approved clinically valid criteria.
This position requires directing and managing the day-to-day operations and supervision of staff to ensure timely completion of insurance verifications and compliance with regulatory standards. The manager will also monitor the progress of all UR cases and insurance appeals, problem-solve when necessary, and mitigate any issues related to utilization.
