MGR - UTILIZATION REVIEW / MGMT

Bloomington Meadows; Bloomington (IN); On-site; USD 85,000 - 110,000; Full time

Job summary

Bloomington Meadows seeks a dedicated Utilization Management Manager to lead our UM program in Bloomington, IN. You will oversee utilization review, case documentation, payer relationships and regulatory compliance to optimize reimbursement and promote patient satisfaction and safe, effective care.

In person position requiring RN license or Master's degree with 5-7 years in acute inpatient psychiatric settings as a treatment team member, or 3-5 years in utilization management for mental health

Qualifications

• Requires RN license or Master's degree.
• 5-7 years in acute inpatient psychiatric setting as treatment team member or 3-5 years in utilization management for mental health and substance use disorders.

Responsibilities

• Oversee utilization management including utilization review, case documentation, payer relationships, regulatory requirements, staff management and department administration.
• Promote patient satisfaction, regulatory compliance and optimal reimbursement while supporting the hospital's overall success.

Skills

Utilization management

Education

RN license

Master's Degree

Job description

Responsibilities

The Utilization Management Manager oversees utilization management including, but not limited to: utilization review, case documentation, payer relationships, regulatory requirements, staff management and department administration. Supports the overall success of the hospital and promotes patient satisfaction, regulatory compliance and optimal reimbursement.

Qualifications

Education: Must have Registered Nurse license or Master's Degree.

Experience: 5-7 yrs acute inpatient psychiatric setting as a treatment team member experience or 3-5 years of experience in utilization management for both mental health and substance abuse behavioral health disorders experience.

Work Location: In person