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Acadia Healthcare
Director of UtilizationAcadia Healthcare • Henderson, NV, United States
Director of Utilization

Director of Utilization

Acadia Healthcare • Henderson, NV, United States
14 hours ago
Job type
  • Full-time
Job description

Director Of Utilization

Seven Hills is a behavioral health hospital serving juveniles, adolescents, adults and geriatric patients. Seven Hills Behavioral Health is located in beautiful, Las Vegas, Nevada. We are seeking a Director of Utilization. We are seeking an individual who is passionate about helping others, while working in a dynamic and collaborative environment.

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
  • 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.
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Director of Utilization • Henderson, NV, United States

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