Director, Utilization Management - Behavioral Health

Universal Health Services; Plymouth (IN); On-site; USD 120,000 - 180,000; Full time

Benefits offered by this job

Challenging and rewarding work

Career development opportunities

Competitive Compensation

Medical, Dental, Vision, Prescription

401(K) with company match

Generous Paid Time Off

Life Insurance

Tuition Reimbursement

Job summary

Michiana Behavioral Health, a UHS facility in Plymouth, Indiana, seeks a Director of Utilization Management to lead the UM department and implement case management strategies for effective treatment planning. The role interfaces with managed care, external case managers, and payers while maintaining denials and appeals logs.

Located in a wooded setting, the facility emphasizes high-quality care and patient outcomes across inpatient behavioral health services.

Qualifications

• Registered Nurse licensed in Indiana or a Master level clinician required.
• Masters degree in a related field preferred.
• Licensed Master level clinician preferred.

Responsibilities

• Oversee all utilization management functions.
• Oversee precertification, concurrent, and discharge utilization reviews.
• Facilitates regulatory compliance with proper documentation.
• Oversees Utilization Management committee structure.
• Develops and monitors utilization management plans.

Education

Registered Nurse licensed in Indiana

Master's degree in related field

Licensed Master level clinician

Job description

Michiana Behavioral Health, a UHS facility in Plymouth, Indiana, seeks a Director of Utilization Management to lead the UM department and implement case management strategies for effective treatment planning. The role interfaces with managed care, external case managers, and payers while maintaining denials and appeals logs.

Located in a wooded setting, the facility emphasizes high-quality care and patient outcomes across inpatient behavioral health services.