Behavioral Health Utilization Review Leader

Universal Health Services; Memphis (TN); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Career development

Competitive compensation

Generous paid time off

Medical, dental, vision and Rx plans

401k with company match

Student loan refinancing (SoFi)

Tuition savings for nursing education

Pet Insurance

Job summary

Lakeside Behavioral Health System in Memphis seeks an experienced leader to oversee utilization management within a premier psychiatric hospital. You will manage utilization review, case documentation, payer relations and regulatory compliance to support quality patient care and optimal reimbursement.

Qualifications include a Master's in a healthcare field and 5–8 years in clinical psychiatry or 3–5 years in utilization management, with RN licensure if applicable.

Qualifications

• Masters degree required in nursing, counseling, psychology or social work.
• 5–8 years of clinical experience in acute psychiatric settings or 3–5 years in utilization management.
• RN licensure is required if applicable.
• Knowledge of case management, growth and development, crisis and behavior management.

Responsibilities

• Oversee utilization management including utilization review, documentation, payer relations and regulatory requirements.
• Lead staff and manage the department to support hospital success and patient satisfaction.

Skills

Utilization management

Case management

Payer relations

Regulatory compliance

Staff management

Education

Masters prepared healthcare leader/director

Masters degree in Nursing, Counseling, Psychology or Social Work

Job description

Lakeside Behavioral Health System in Memphis seeks an experienced leader to oversee utilization management within a premier psychiatric hospital. You will manage utilization review, case documentation, payer relations and regulatory compliance to support quality patient care and optimal reimbursement.

Qualifications include a Master's in a healthcare field and 5–8 years in clinical psychiatry or 3–5 years in utilization management, with RN licensure if applicable.