Talent.com
serp_jobs.error_messages.no_longer_accepting
Director of Utilization

Director of Utilization

Acadia HealthcareSaint Paul, MN, US
job_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

Director Of Utilization

Opening in Fall 2025, Capitol Park Mental Health Hospital, 144-bed, will offer inpatient, intensive outpatient and "partial hospitalization" mental health treatment.

  • This is an ONSITE role only

The Director of Utilization directs and manages 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.
  • Collaborate with physicians, therapist and nursing staff to provide optimal review based on patient needs.
  • Collaborate 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 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 :

  • If applicable, current licensure as an LPN or RN within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services.

    • Pay Range : $105,000 - $120,000 DOE

    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.

    serp_jobs.job_alerts.create_a_job

    Director Utilization • Saint Paul, MN, US