Onsite Utilization Director - Healthcare Review & Leadership

Acadia Healthcare; San Antonio (TX); On-site; USD 90,000 - 130,000; Full time

Job summary

Starlite Recovery Center is seeking a Director of Utilization to lead the Utilization Review team at the Center Point campus in the Hill Country region of Texas. You will oversee concurrent and retrospective reviews, coordinate with Medicaid and physicians, drive compliance, and manage staff performance to ensure optimal utilization and reimbursement for the facility.

This role requires a nursing or clinical background, at least four years in utilization management and three years of supervisory

Qualifications

• Bachelor's Degree in nursing or other clinical field required.
• Master's Degree in clinical field preferred.
• Four or more years’ experience in utilization management required.
• Three or more years of supervisory experience required.
• Current licensure as an LPN or RN within the state is required, if applicable.

Responsibilities

• Direct and manage day-to-day operations of the Utilization Review department.
• Monitor utilization of services and optimize reimbursement for the facility.
• Conduct concurrent and retrospective chart reviews for all patients.
• Serve as liaison between Medicaid reviewers and staff for required paperwork.
• Collaborate with physicians, therapists and nursing staff to ensure optimal review.
• Provide staff management including hiring, development, and performance management.

Education

Bachelor's Degree in nursing or other clinical field

Master's Degree in clinical field

Job description

Starlite Recovery Center is seeking a Director of Utilization to lead the Utilization Review team at the Center Point campus in the Hill Country region of Texas. You will oversee concurrent and retrospective reviews, coordinate with Medicaid and physicians, drive compliance, and manage staff performance to ensure optimal utilization and reimbursement for the facility.

This role requires a nursing or clinical background, at least four years in utilization management and three years of supervisory