Utilization Review Director
Behavioral Health Company North Miami Beach, FL
- Expired: over a month ago. Applications are no longer accepted.
The Director of Utilization Management leads and directs the Utilization Review staff and function for the behavioral healthcare facilities. This role determines policies and procedures that incorporate best practices and ensures effective utilization reviews. This role manages and monitors initial and concurrent reviews, to ensure the client is getting the right care in a timely and cost-effective way, as well as retrospective reviews after care has been completed. The role provides analysis and reports significant utilization trends, patterns and impacts to resources and quality of care. The Director of Utilization Management consults with Physicians, Therapists and Executives to develop improved utilization of effective and appropriate services. This role develops functional infrastructure, has input into the departmental budget, and develops functional strategies.
- Master’s Degree with 2+ years' experience in Utilization Review Management
- Experience with either Joint Commission or CARF surveys, both is preferred
- Working knowledge of American Society of Addiction Medicine (ASAM) criteria
Behavioral Health CompanyWhy Work Here?
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