Director of Utilization Review — Sign-On Bonus & Impactful Leadership

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

Benefits offered by this job

Sign-on bonus

Career development

Medical benefits

401(k) with company match

Paid time off

Life Insurance

Tuition Reimbursement

Job summary

Gulfport Behavioral Health System in Mississippi seeks a Director of Utilization Review to lead the Utilization Review Department and ensure appropriate levels of care across inpatient, partial hospitalization and outpatient services.

The role requires evaluating patient records for illness severity, serving as liaison with insurers, negotiating length of stay, and coordinating with other departments to maximize appropriate reimbursement.

Qualifications

• Bachelor degree in Nursing or Master’s in Human Services preferred.
• Minimum 2 years clinical experience and 1 year of management with case management.
• Current license in Mississippi (RN, LMSW, LMFT, LPC).

Responsibilities

• Oversee Utilization Review Department operations.
• Evaluate patient records to determine illness severity and appropriate level of care.
• Serve as liaison for patients and hospital with insurance companies.
• Negotiate and advocate for patient length of stay and level of care.
• Coordinate utilization review activities with other departments to ensure reimbursement.

Skills

Utilization review

Management

Liaison with insurer

Communication

Documentation

Education

Bachelor degree in Nursing

Master's Degree in Human Services

Job description

Gulfport Behavioral Health System in Mississippi seeks a Director of Utilization Review to lead the Utilization Review Department and ensure appropriate levels of care across inpatient, partial hospitalization and outpatient services.

The role requires evaluating patient records for illness severity, serving as liaison with insurers, negotiating length of stay, and coordinating with other departments to maximize appropriate reimbursement.