Director of Admissions & Referrals

Dover Behavioral; Dover (DE); On-site; USD 100,000 - 140,000; Full time

Benefits offered by this job

Tuition Assistance

Loan Forgiveness

Career development across UHS

CEU opportunities

Paid Time Off

Medical/Dental/Vision

Job summary

Dover Behavioral Health System in Dover, Delaware, is seeking a Director of Assessments and Referrals to lead the day-to-day operations of the Assessment and Referral Services department. You will coordinate with medical staff, administration, treatment teams, and external partners to ensure efficient intake and utilization review processes.

The role emphasizes admission and discharge coordination, appeals to third-party payors, and reporting obligations, with a focus on patient care and

Qualifications

• Minimum MA, MS, MSW or RN.
• Two years’ experience in behavioral health.
• Two years’ management experience.

Responsibilities

• Conduct admission reviews with Assessment and Referral Services to stay abreast of admissions.
• Conduct concurrent and extended stay reviews.
• Prepare and submit appeals to third party payors.
• Call/fax discharge information to insurance companies within 24 hours of discharge.
• Maintain logs and records of the Utilization Review department.
• Communicate third party payor issues to doctor and treatment team.
• Attend daily treatment team meetings to discuss acuity issues and payor needs.
• Gather information for reviews from patient records and treatment team.
• Understand and communicate insurance information to team members.
• Perform internal utilization reviews as indicated.
• Identify and report abuse/neglect to appropriate parties.

Education

MA, MS, MSW in a related field or RN

Job description

Dover Behavioral Health System in Dover, Delaware, is seeking a Director of Assessments and Referrals to lead the day-to-day operations of the Assessment and Referral Services department. You will coordinate with medical staff, administration, treatment teams, and external partners to ensure efficient intake and utilization review processes.

The role emphasizes admission and discharge coordination, appeals to third-party payors, and reporting obligations, with a focus on patient care and