Director of Utilization Management

Description

JOIN OUR TEAM AS A UTILIZATION MANAGEMENT DIRECTOR!

Your Work Matters How will you make a difference?

Lake Behavioral Hospital is looking for a Utilization Management Director that will oversees the Utilization Management Program.  The ideal candidate will manage case management scenarios, consult with all services to ensure the provision of an effective treatment plan for all patients, oversees the response to request for services and interface with managed care organizations, external reviewers, and other payors.

• Supervising and supporting performance improvement activities on a daily basis and assure that action is taken as needed and as authorized by organization policies and procedures.
• Receiving and reviewing department/service performance measures and documentation to evaluate performance improvement activities and coordinate reports of findings to the PI Committee, Medical Executive Committee and Board.
• Maintain records of the performance improvement performance measures and statistical tools used to describe studies performed or methodology.
• Advise and assist all departments/services and committees accountable for performance improvement activities.
• Maintain a record of all completed reviews, evaluations and process improvement team activities.
• Review incident reports, patient/physician surveys and patient complaints to determine the presence or absence of patterns and/or trends or opportunities for improvement in patient care outcomes, as well as the appropriateness of corrective action.
• Attend and participate in appropriate committee and department or service meetings representing the entire Utilization Management Department.
• Share data and information and leads the Utilization Management Committee and attends other appropriate committees, as appropriate.

Your Experience Matters What we’re looking for:

• Education: Degree in nursing, social work, mental health/behavioral sciences, or related field required; Master's Degree preferred.
• Experience:  A minimum of five (5) years direct clinical experience in a psychiatric or mental health treatment setting, including one year of managing a related function preferred.  Experience in patient assessment, family motivation, treatment planning and communication with external review organizations or comparable entities.
• Licensure: R.N., L. S.W. or applicable Illinois license preferred.
• Additional Requirements: A thorough knowledge of Joint Commission, CMS, and OSHA regulations and all other state and federal regulatory standards is preferred.

Your Care Matters What we provide for our team:

• 401(k) matching
• 100% company-paid health insurance up to family coverage (opt-out for premium pay)- Registered Nurse ONLY
• 100% company-paid life insurance coverage up to 2x your annual salary
• Vision insurance
• Dental insurance
• 100% company-paid long-term disability insurance
• Paid time off
• Paid Holidays
• Cafeteria on site
• Employee engagement events
• Employee assistance program
• Employee recognition program
• Free parking

What sets us apart:

• Career & training development opportunities
• Dynamic and inclusive work environment
• Engaged management team dedicated to your success
• A guiding mission and set of values that serve as both our northstar and yours, anchoring our collective purpose and aspirations

Disclaimer: Select benefits are available to full-time positions only and are subject to change at Lake Behavioral Hospital's discretion.

Compensation:

This is a full-time position and the expected compensation is $80,000 - $90,000 annually. We’re eager to engage with all qualified candidates, and consideration will be given to experience and skill level. Join us as our Utilization Management Director!

Get to know us Outstanding Care, Compassionate People, Unparalleled Service

Welcome to Lake Behavioral Hospital (LBH), where passion meets purpose in the realm of mental health and substance use disorder treatment.

We are a 161-bed acute care facility in Waukegan, IL, providing mental health treatment to the community and surrounding area since 2018. We are dedicated to offering services to meet the ever-changing emotional and behavioral healthcare needs of adolescents, adults, and their families. We provide specialized inpatient programs and outpatient services proven to decrease symptoms of mental illness, and we are committed to helping people live healthier lives. Our compassionate and experienced team of psychiatrists, licensed therapists, nurses, and support staff are here to create an atmosphere of health, hope, and healing.

Join us in our transformative mission to redefine mental healthcare through person-centered care. Your unique skills and boundless compassion have the power to profoundly impact the lives of those in need. If you are ready to contribute to a community that values excellence and empathy, seize this opportunity to apply and become a catalyst for positive change at Lake Behavioral Hospital.

To learn more about LBH, visit us at: https://www.lakebehavioralhospital.com/

TOGETHER WE CAN MAKE POSITIVE I.M.P.A.C.T.S.

Individuals Maintaining Positive Attitude and Commitment To Service

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Lake Behavioral Hospital values a diverse, inclusive workforce and provides equal employment opportunities for all applicants and employees. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, pregnancy, parental status, genetic information, political affiliation, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.

Qualifications

Salary : $80,000 - $90,000