Manager - Utilization

Acadia Healthcare; Danville (PA); On-site; USD 70,000 - 90,000; Full time

Job summary

A leading provider of behavioral healthcare is seeking a Manager of Utilization for their new facility in Danville, PA. This role involves optimizing service utilization and managing staff to ensure compliance and effective operations. The facility will serve diverse mental health needs and is set to open in Summer 2025.

Qualifications

• Current licensure as an LPN or RN required.
• CPR and de-escalation certification required.

Responsibilities

• Monitor utilization of services and optimize reimbursement.
• Secure authorizations with insurance companies.
• Evaluate utilization program for compliance.

Skills

Consultation

Guidance

Compliance Evaluation

Education

LPN or RN Licensure

CPR Certification

Job description

Overview

Acadia Healthcare is a leading provider of behavioral healthcare services across the United States. Acadia operates a growing network of 250+ behavioral healthcare facilities with approximately 11,100 beds in 39 states and Puerto Rico. With more than 23,000 employees serving approximately 75,000 patients daily, Acadia is the largest stand-alone behavioral health company in the U.S.

Acadia Healthcare’s purpose is to Lead Care with Light and our mission is to be a world-class organization that sets the standard for excellence in the treatment of mental health and addiction concerns. We strive to maintain our standing as a thought leader in the behavioral healthcare industry, providing treatment that is synonymous with compassion and innovation.

Manager-Utilization - Geisinger Behavioral Health Center

We are looking for a Manager of Utilization at Geisinger Behavioral Health Center located in Danville, PA.

Acadia Healthcare and Geisinger Health have partnered to establish a state-of-the-art, 96-bed behavioral health hospital in Danville, PA. Geisinger Behavioral Health Center Danville will serve pediatric and adult patients, offering inpatient treatment, intensive outpatient programming, and ECT services. It will also serve as a teaching hospital for students and residents of Geisinger’s College of Health Sciences. Set to open in Summer 2025, this facility will help meet the urgent need for accessible, high-quality psychiatric care in the region, expanding capacity to support patients with diverse mental health needs.

What would you do in this role?

Monitor utilization of services and optimize reimbursement for the facility while maximizing use of the patient’s provider benefits for their needs.

Responsibilities

• Provide consultation and guidance regarding admissions and patient length of stay to a variety of payers.
• Secure authorizations with insurance companies for inpatient treatment and continue to obtain authorizations for the duration of the patient’s stay.
• Evaluate the utilization program for compliance with regulations, policies, and procedures.
• Review clinical documentation from denied stays against criteria to determine if documentation is adequate for requested treatment.
• Provide staff management including hiring, development, training, performance management, and communication to ensure effective and efficient department operation.

Other functions

• Perform other functions and tasks as assigned.

Qualifications

Licenses/Designations/Certifications:

• If applicable, current licensure as an LPN or RN within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services.
• CPR and de-escalation and restraint certification required (training available upon hire and offered by the facility).
• First aid may be required based on state or facility requirements.

We are committed to providing equal employment opportunities to all applicants for employment regardless of characteristics protected by applicable laws.