Director of Utilization Management - Psychiatry

Acadia Healthcare; Columbus (OH); On-site; USD 120,000 - 180,000; Full time

Job summary

Ohio Hospital for Psychiatry in Columbus, OH, seeks a Director of Utilization to lead the Utilization Review department. This role directs daily operations, coordinates reviews, and ensures timely, compliant utilization management in inpatient and outpatient psychiatric care.

The position requires a nursing or clinical background with several years of utilization management and supervisory experience, and a commitment to high-quality patient care.

Qualifications

• Bachelor's degree in nursing or other clinical field required.
• Six or more years' clinical experience with the population served preferred.
• Four or more years' experience in utilization management required.
• Three or more years of supervisory experience required.

Responsibilities

• Direct and manage day-to-day operations of the Utilization Review department.
• Monitor utilization of services and optimize reimbursement while aligning patient benefits.
• Oversee concurrent and retrospective reviews for all patients.
• Liaise between Medicaid reviewers and staff handling required paperwork.
• Collaborate with physicians, therapists and nursing staff to base reviews on patient needs.
• Collaborate with ancillary services to prevent delays in services.

Skills

Clinical experience

Supervisory experience

Utilization management

Education

Bachelor's degree in nursing or clinical field

Master's degree preferred

Job description

Ohio Hospital for Psychiatry in Columbus, OH, seeks a Director of Utilization to lead the Utilization Review department. This role directs daily operations, coordinates reviews, and ensures timely, compliant utilization management in inpatient and outpatient psychiatric care.

The position requires a nursing or clinical background with several years of utilization management and supervisory experience, and a commitment to high-quality patient care.