Utilization Management Director — Behavioral Health Leadership

Universal Hospital Services Inc.; Plymouth (IN); On-site; USD 110,000 - 160,000; Full time

Benefits offered by this job

Challenging and rewarding work

Career development opportunities

Competitive compensation

Excellent medical, dental, vision

401(K) with company match

Generous paid time off

Job summary

Michiana Behavioral Health in Plymouth, Indiana, is seeking a Director of Utilization Management to lead the UM Department, oversee case management scenarios, ensure the provision of an effective treatment plan for all patients, and interface with managed care organizations and payers.

Responsibilities include overseeing all utilization management functions, precertification, concurrent, and discharge reviews, ensuring regulatory compliance, and developing UM plans.

Qualifications

• Registered Nurse licensed in Indiana or a Master level clinician required.
• 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.

Skills

Nurse leadership

Utilization management

Regulatory compliance

Interdepartmental collaboration

Education

Registered Nurse license (Indiana)

Master level clinician

Job description

Michiana Behavioral Health in Plymouth, Indiana, is seeking a Director of Utilization Management to lead the UM Department, oversee case management scenarios, ensure the provision of an effective treatment plan for all patients, and interface with managed care organizations and payers.

Responsibilities include overseeing all utilization management functions, precertification, concurrent, and discharge reviews, ensuring regulatory compliance, and developing UM plans.