Responsibilities Oversees utilization management including, but not limited to: utilization review, case documentation, payer relationships, regulatory requirements, staff management and department administration. Supports the overall success of the hospital and promotes patient satisfaction, regulatory compliance and optimal reimbursement.
This opportunity provides the following: - Challenging and rewarding work environment
- Career development opportunities within UHS and its 300+ subsidiaries
- Competitive Compensation & Generous Paid Time Off
- Excellent Medical, Dental, Vision and Prescription Drug Plans
- 401k with company match and discounted stock plan
- SoFi Student Loan Refinancing Program
- Tuition savings to continue your nursing education with Chamberlain University
- Pet Insurance
- More information is available on our Benefits Guest Website: benefits.uhsguest.com.
Qualifications Job Requirements Education: Masters prepared healthcare leader/director. Masters degree in Nursing, Counseling, Psychology or Social Work required.
Experience: Minimum of 5-8 years clinical experience with acute psychiatric setting as a treatment team member or 3-5 years in utilization management experience with case management and the utilization management process including concurrent reviews. Previous continuum of care experience highly preferred.
Licensure/Certification: If RN - licensure required.
Knowledge: Prefer knowledge of case management, age specific growth and development, crisis, and behavior management.