Director Of Utilization Review Jobs in Riverside, CA

Discovery Mood and Anxiety Program is a national leader in behavioral healthcare and one of the fastest growing companies in the field. DBH offers world‑class treatment for those struggling with mental health and places a high priority on seeking employees who share our passion for improving the lives we serve.

Since 1997, Discovery Mood and Anxiety Programs, DBH’s Mental Health Disorder Division, has helped thousands of patients discover their path to the full and rewarding lives they deserve with evidence‑based and inclusive treatment options.

TheClinical Directorworks in a dynamic multidisciplinary team providing treatment services according to the Centerfor Discovery Clinical Model.Clinical Directorresponsibilities include ensuringpatientsafety, providing milieu interventions, leading psychoeducational and process‑oriented therapy groups, facilitatingclinical assessments,and clinical supervision and oversight of the program.

• Oversee and ensure quality of clinical aspects of the program and takes the initiative to make improvements.
• Facilitates weekly treatment team meetings to ensure consistent and effective communication, including proper oversight ofpatientprogress and ensures a team approach is being utilized.
• Assists in admission processes and understands role in ensuring expeditious access to care for those seeking services.
• Trains all new clinical employees within their scope and coordinates training with clinical team members.
• Provides support to milieu staff to ensure patients are receiving the highest level of clinical care, at all times.
• Conducts with the Executive Directorall 90‑day, annual performance reviews, and growth plans for therapists within the program.
• Manages clinical employees’ schedules to ensure appropriate clinical presence.
• Providesadequate and ongoing training of facility employees, and sufficient oversight/supervision to ensure that all services are in keeping with the Discovery Mission Statement.
• Supports in facilitating monthly employee training courses ensuring that all mandated trainings are completed throughout the year.
• Completes utilization reviews, oversees primary therapist process of utilization review and assists in the process of assuring that allpatientstays are authorized (i.e. insurance, private pay, etc.).
• Maintains a patientcaseload as dictated by census and assigns cases based upon the appropriate clinical match with each therapist.
• Leads or co‑leads 3‑4process groups and/or any additional clinically oriented groups every week. Provides oversight of all other groups conducted.
• Communicates with referral sources and outpatient providers for continuity of care upon admission, midpoint, and discharge, including the use of Discovery Connect.
• Attends outreach events and supports relationship management in the community.
• Facilitatespatienttransfers to a higher level of care, as needed.
• Ensure discharge planning is adequate and complete for all discharging patients.
• Participates in clinical outreach and facilitates program tours as needed.
• Facilitates Multi‑Family, Family Program and/or Family Weekend.
• Supervises all therapists within the program and provides clinical consultation, as needed.
• Supports in training new therapists within the organization.
• RTC Only:Provides on‑call support to the facility at least 1x per month and communicates with the On‑Call Administrator and returns all phone calls within 20 minutes.

• Ability to run groups effectively AEB providing a check‑in, engaging all members, and providing structure to group format.
• Able to show effective writing and communication skills AEB documentation review, email timeliness, and verbal communication with staff and patients, add timeliness with documentation Ability to support in meal prep and meal support AEB accurate portioning, following proper kitchen safety & sanitation guidelines, engaging patients during meal, and able to provide redirection as needed.
• The ability to manage staff in a way that improves their ability to succeed on the job AEB creating a staff schedule, program schedule, and run a staff meeting.
• Ability to lead a group of individuals at a multi-disciplinary level AEB overseeing the hiring, training, development, and day‑to‑day management of employees.
• Ability to manage and have knowledge of different operating systems including but not limited to Human Resource (HR), Microsoft 365, Electronic Medical Record (EMR), and Compliance software systems. AEB submits documentation and inspections on a timely basis.
• Ability to make and take responsibility for decisions in a timely manner AEB making decisions in alignment with policies, procedures, and company directives

• License, and ability to provide clinical supervision, required
• Minimum of two years of experience workingwith eating disorders, required
• Obtain CPI certification within 90 days of hire
• Obtain CPR, AED, and First Aid certification within 90 days of hire
• ObtainServSafecertification within 90 day of hire
• Must possess a currentdriver’slicense and be in good standing

The physical demands outlined here represent those that are typically required of an employee to successfully perform the essential functions of this position. Reasonable accommodation may be made to enable individuals with disabilities to perform these essential functions.

While performing the duties of this job, the employee is regularly required to do the following:

• Engages in sustained power grasping and pushing/pulling motions
• Exposure to dust, gas, odors, liquids, or fumes
• Intermittent lifting and carrying up to 40 pounds, transporting object usually by hand, arm, or shoulder
• Hand/eye coordination: Performing work using both
• Working with hands: Seizing, holding, and grasping
• Able to lift by raising or lowering an object from one level to another
• The ability to respond quickly to emergency situations, which may involve running or moving rapidly.
• Frequent standing and walking for extended periods, often throughout the entire shift.
• Potential exposure to infectious diseases, bloodborne pathogens, and hazardous materials, requiring adherence to safety and PPE protocols.

As a condition of employment, all candidates must agree to and sign a pre‑employment arbitration agreement. This agreement requires that any disputes arising out of or related to employment with Discovery Practice Management will be resolved through binding arbitration rather than through litigation in court

Employment Status: full time
Schedule: Monday-Friday
Work Location: On Site - Orange, CA
Compensation: Pay Range: $100,000-$120,000

Discovery Behavioral Health seeks to build a diverse staff that is reflective of the patients we serve and the communities where we work. DBH encourages multiple perspectives, experiences, and strives to hire and retain a diverse workforce.

We are proud to be an EEO employer M/F/D/V. We maintain a drug‑free workplace and perform pre‑employment substance abuse testing. All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, or national origin.