UR Director - Fully Licensed (RN, LVN, LPC-A, LPC,LMSW)
Summit BHC(1 month ago)
About this role
The Director of Utilization Management leads the Utilization Review department at a behavioral health facility, overseeing review of admissions, continued stays, and discharge planning according to clinical criteria. The role manages day-to-day operations, coordinates with clinical and business teams to optimize utilization and reimbursement, and ensures compliance with payer and regulatory requirements.
Required Skills
- Utilization Management
- Insurance Verification
- Appeals Management
- Staff Supervision
- Admission Review
- Concurrent Review
- Discharge Planning
- Medical Records
- Reimbursement Optimization
- Regulatory Compliance
+1 more
Qualifications
- BS in Nursing
- BS in Social Work
- Master's Degree (Preferred)
- RN License
- LPN License
- CPR Certification
- De-escalation Certification
- First Aid (May Be Required)
About Summit BHC
summitbhc.comSummit Behavioral Healthcare, Addiction Treatment Centers in AZ, CA, CO, GA, IA, IN, KS, LA, MO, NJ, NM, NC, PA, SC, TN, TX, VA, WV, & WI.
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