What are the responsibilities and job description for the Director of Utilization Management position at Greenleaf Behavioral Health Hospital?
Overview
Greenleaf Behavioral Health Hospital is a 113-bed behavioral health and substance use disorder (SUD) treatment hospital located in the heart of South Georgia. We offer inpatient hospitalization, partial hospitalization, and intensive outpatient programming for adolescents, teens, and adults struggling with depression, anxiety, bipolar disorder, behavioral issues and mental health issues.
We are seeking dedicated and compassionate therapists to join our team at our growing team. We have a new geriatric unit opening soon! This role is pivotal in providing high-quality care to individuals and families dealing with emotional and behavioral disorders. The therapist will be instrumental in creating a supportive and therapeutic environment to foster healing and growth.
Full-Time and 100% On-Site role.
Responsibilities
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.
OTHER FUNCTIONS :
Qualifications
EDUCATION / EXPERIENCE / SKILL REQUIREMENTS :
LICENSES / DESIGNATIONS / CERTIFICATIONS :
We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.
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