Director of Utilization Management & Admissions

Universal Health Services; Hollys Mill (VA); On-site; USD 90,000 - 130,000; Full time

Benefits offered by this job

Challenging environment

Competitive pay

Tuition reimbursement

Medical plan

401K with match

Paid time off

Career development

Job summary

The Hughes Center, part of Universal Health Services, seeks a Director of Utilization Management to supervise admission screening and ensure criteria compliance across levels of care. You will collaborate with clinical staff, the Business Office, Admissions, Medical Records, and third-party reviewers to optimize patient care and stay criteria-driven.

This leadership role requires Virginia licensure and 3–5 years in utilization review or case management, with a strong emphasis on coordination,

Qualifications

• Bachelor's degree in human services; Master's degree preferred.
• Three to five years of experience in utilization review and case management.
• RN, LCSW, LPC, LMFT, or LCP in Virginia required.

Responsibilities

• Screen patients at the pre-hospital level to ensure admission criteria are met.
• Coordinate with clinical staff, the Business Office, Admissions, Medical Records, third party reviewers and hospital administration to help patients receive the proper hospital care.

Skills

Utilization review

Case management

Virginia licensure (RN/LCSW/LPC/LMFT/L

Education

Bachelor's degree in human services

Master's degree in human services (preferred)

Job description

The Hughes Center, part of Universal Health Services, seeks a Director of Utilization Management to supervise admission screening and ensure criteria compliance across levels of care. You will collaborate with clinical staff, the Business Office, Admissions, Medical Records, and third-party reviewers to optimize patient care and stay criteria-driven.

This leadership role requires Virginia licensure and 3–5 years in utilization review or case management, with a strong emphasis on coordination,