Admissions Director

Socket.dev; Dover (DE); On-site; USD 120,000 - 180,000; Full time

Benefits offered by this job

Tuition Assistance

Loan Forgiveness

CEU opportunities

Paid Time Off

Health Insurance

401K with company match

Stock Plan

SoFi Program

Job summary

Dover Behavioral Health System in Dover, Delaware is seeking a Director of Assessments and Referrals to lead the Assessment and Referral Services department. You will direct day-to-day operations and liaise with medical staff, administration, and external case managers to optimize admissions and utilization decisions.

The role focuses on improving admission reviews, appeals coordination, and effective communication of insurance information to the care team, with direct involvement in treatment

Qualifications

• MA, MS, MSW in a related field or RN.
• Two years’ experience in behavioral health.
• Two years' management experience.

Responsibilities

• Direct and manage the day-to-day operations of the Assessment and Referral Services department.
• Interface closely with medical staff, department heads and administration, treatment team/external case managers/managed care organizations.
• Coordinate admission reviews and utilization reviews.
• Submit appeals to third party payors with pertinent data.
• Communicate insurance information and benefits to the team.
• Attend daily treatment team meetings to discuss acuity and payor needs.
• Gather information from patient records for reviews.

Skills

Behavioral health

Management experience

Education

MA/MS/MSW or RN

Job description

Responsibilities

Dover Behavioral Health System is a 104-bed, acute care psychiatric hospital located in the beautiful Dover, Delaware area. Dover Behavioral Health System features individual units for adolescents and adults and offers inpatient acute care, partial hospitalization, and intensive outpatient programs. On average, over 10,000 patients receive care from our compassionate health care team each year at Dover Behavioral Health System. This opportunity offers working at a hospital known for its outstanding patient satisfaction, including ranking 6th for highest patient satisfaction in 2020 compared to over 200+ psychiatric hospitals. We attribute this success to our talented and dedicated staff. We are the best at what we do!

Dover Behavioral Health system is seeking qualified candidates for our Director, Assessments and Referrals. In this role, you will direct and manage the day-to-day operations of the Assessment and Referral Services department. This position interfaces closely with the medical staff, fellow department heads and administration, treatment team/external case managers/managed care organizations, and functions as a liaison with other hospital intake departments.

Responsibilities will include:

• Conduct admission reviews working with Assessment and Referral Services to stay abreast of admissions.
• Conduct concurrent and extended stay reviews on appropriate day and/or specified time.
• Prepare and submit appeals to third party payors, effectively coordinating collection of all pertinent data to support the hospital and patient’s position.
• Call/fax discharge information to insurance companies within 24 hours of discharge to ensure the facility is paid for the hospital stay.
• Maintain and update logs of review and maintain other appropriate records of the Utilization Review department.
• Communicate pertinent third party payors issues to doctor and treatment team.
• Attend daily treatment team meetings to discuss acuity issues, third party payors needs and gather information for reviews.
• Work independently in gathering information for reviews from the patient record, taking the initiative to seek information from members of the treatment team.
• Understand and communicate insurance information to team members, including benefits and levels of care offered.
• Perform internal utilization reviews as indicated.
• Identify, document, and report any and all instances of adult or child abuse and neglect to the appropriate parties including a member of management, the police, and state agencies

Qualifications

Minimum:

• MA, MS, MSW in a related field or RN
• two (2) years’ experience in behavioral health
• two (2) years' management experience

Benefits:

• Tuition Assistance
• Loan Forgiveness
• Orientation (Could earn 20 CEUs) * Career development opportunities across UHS and its 300+ locations
• Diverse programming to expand your experience and energize your career HealthStream online learning catalogue with plenty of free CEU courses
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match and discounted stock plan
• SoFi Student Loan Refinancing Program

About our parent company Universal Health Services (UHS):

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, our annual revenues were $10.77 billion in 2018. In 2020, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; in 2019, ranked #293 on the Fortune 500; and in 2017, listed #275 in Forbes inaugural ranking of America’s Top 500 Public Companies. Headquartered in King of Prussia, PA, UHS has more than 87,000 employees and through its subsidiaries operates 26 acute care hospitals, 327 behavioral health facilities, 40 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 37 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.We believe that diversity and inclusion among our teammates is critical to our success.