What are the responsibilities and job description for the Director-Utilization Management position at Starlite Recovery Center?
We are looking for a full-time Director of Utilization Management to join the SRC team!
This position will be working in person located at our facility in Center Point, Texas.
For over 67 years, Starlite Recovery Center has been providing adult clients in the heart of the Hill Country in Center Point, Texas, with caring and highly effective drug rehab for substance abuse, alcohol addiction, and co-occurring issues.
Starlite Recovery Center is part of the Acadia Healthcare system, a provider of addiction, behavioral and mental health treatment facilities in the United States and Puerto Rico.
BENEFITS:
- Medical, dental, and vision insurance
- Acadia Healthcare 401(k) plan with employer contribution
- Professional growth opportunity that is second to none in the industry. Join a team with defined career paths and a national family of hospitals and facilities as part of the Acadia Healthcare family
PURPOSE STATEMENT:
Direct and manage the day-to-day operations of the Utilization Review department.
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:
- Perform other functions and tasks as assigned.
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.
LICENSES/DESIGNATIONS/CERTIFICATIONS:
- Current licensure LPN or RN in the state of Texas; or current clinical professional license or certification, as required, within the state where the facility provides services.
Education
Required- Bachelors or better in Nursing/Healthcare
Licenses & Certifications
Required- Reg Nurse
Skills
Preferred- Problem Solving
- Oral Communication
- Written Communication
- Communication
- Leadership
- Attention to Detail
Behaviors
Preferred- Functional Expert: Considered a thought leader on a subject
- Dedicated: Devoted to a task or purpose with loyalty or integrity
- 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
Motivations
Preferred- Goal Completion: Inspired to perform well by the completion of tasks
- Self-Starter: Inspired to perform without outside help
- Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
