Director Utilization Management

UHS$95K — $115K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Registered Nurse licensed in Indiana or Master's level clinician required.
  • Master's Degree in a related field preferred.
  • Licensed Master level clinician preferred.
  • 8-10 years experience in acute inpatient psychiatric settings required.
  • 5-7 years experience in utilization management for mental health and substance abuse disorders.

Responsibilities

  • Oversee all utilization management functions.
  • Manage precertification, concurrent, and discharge reviews.
  • Ensure compliance with documentation regulations.
  • Supervise Utilization Management committee activities.
  • Develop and monitor utilization management plans.

Benefits

  • Challenging and rewarding work environment.
  • Career development opportunities within UHS and its subsidiaries.
  • Excellent medical, dental, vision, and prescription drug plans.
  • 401(K) with company match and discounted stock plan.
  • Generous paid time off.
  • Free basic life insurance.
  • Tuition reimbursement.
Full Job Description
Responsibilities

Director Utilization Management

Michiana Behavioral Health (a UHS facility):

Michiana Behavioral Health is dedicated to creating a therapeutic environment that helps patients restore their health and get a fresh start. Located in Plymouth, Indiana, in a rejuvenating wooded setting, Michiana Behavioral Health provides each patient with comprehensive behavioral health treatment from compassionate and caring staff. Our leadership is committed to making sure every patient in our care receives high-quality care that gets them back on track at school, work, and home.

For more information, please visit our website: https://michianabehavioralhealth.com

Position Summary:

The Director of Utilization Management is responsible for directing and overseeing the UM Dept, which includes the implementation of case management scenarios, consulting with all services to ensure the provision of an effective treatment plan for all patients. This position also oversees the response to requests for services and interfaces with managed care organizations, external case managers, and other payers. Also, assures that good customer service practices are utilized. Maintains denials and appeals logs and reviews the progress of all appeals activity on a monthly basis.

Responsibilities include:
  • Oversee all utilization management functions.
  • Oversee precertification, concurrent, and discharge utilization reviews.
  • Facilitates regulatory compliance with proper documentation.
  • Oversees Utilization Management committee structure.
  • Develops and monitors utilization management plans.

Benefit Highlights
  • Challenging and rewarding work environment
  • Career development opportunities within UHS and its Subsidiaries
  • Competitive Compensation
  • Excellent Medical, Dental, Vision and Prescription Drug Plan
  • 401(K) with company match and discounted stock plan
  • Generous Paid Time Off
  • Free Basic Life Insurance
  • Tuition Reimbursement

Qualifications

Qualifications
  • Registered Nurse licensed in the State of Indiana or a Master level clinician required.
  • Masters degree is a related field preferred.
  • Licensed Master level clinician preferred.
  • 8 - 10 years of experience working in an acute inpatient psychiatric setting as a treatment team member or
  • 5 -7 years of experience in utilization managment for both mental health and substance abuse behavioral health disorders.

About UHS

UHS Careers

Joining UHS presents an unparalleled opportunity to become part of a leading team of healthcare professionals dedicated to making a difference. UHS, known for its commitment to innovation and leadership in the healthcare sector, offers a variety of job opportunities that cater to a diverse range of skills and experiences.

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UHS is actively hiring and offers a wide array of positions, from clinical roles to administrative support. Each position at UHS is designed to challenge team members while providing meaningful service to the community. Explore the current job openings and find a career path that suits professional aspirations and skills.

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UHS provides robust internship programs that offer hands-on experience in the healthcare industry. Internships are a cornerstone of professional development, giving participants a chance to deepen practical skills in a real-world setting. These programs are tailored to foster growth and prepare interns for a full-time position within the company.

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UHS believes in nurturing the career growth of its team members through comprehensive professional development programs. These include leadership training, diversity training, and continuous education in the latest healthcare practices, ensuring that every team member has the opportunity to advance their career.

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Employment at UHS comes with competitive benefits designed to support the health, well-being, and financial security of each team member and their families. The company culture at UHS is built on a foundation of respect and inclusion, where diversity is celebrated and every voice is heard.

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