Director of Utilization in Covington, LA at Acadia Healthcare

Date Posted: 1/14/2021

Job Snapshot

Job Description

Overview

Covington Behavioral Health Hospital is currently recruiting for a strong energetic leader to join our team as the Director of Utilization.

How We Help

At Covington, there is no such thing as “one size fits all” treatment. We recognize that each person who comes to us for healing brings a unique set of strengths, challenges, and treatment goals, so we are dedicated to providing the individualized care that gives each of our patients the best possible chance of healing.

We aim to be the premier provider of psychiatric services in the Gulf South region, and we strive to provide excellent care and commitment to our patients, staff, employees, physicians, families, and communities. We believe that all individuals have the right to top-notch physical and mental health care regardless of race, sex, creed, religion, age, gender, and sexual orientation.

Our team treats a range of disorders including:

  • Schizophrenia
  • Depressive disorders
  • Anxiety disorders
  • Schizoaffective disorder
  • Bipolar disorder
  • Posttraumatic stress disorder (PTSD)
  • Psychotic disorders
  • Personality disorders

Your Impact as Director of Utilization

Improving the lives we touch is our number one goal at Covington Behavioral Health Hospital.

The Director of Utilization will direct and manage the day-to-day operations of the Utilization Review department.

Responsibilities

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.
  • Collaborates with physicians, therapist and nursing staff to provide optimal review based on patient needs.
  • Collaborates 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 to including hiring, development, training, performance management and communication to ensure effective and efficient department operation.

Job Requirements

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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