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Director-Utilization Management

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Acadia Healthcare

2024-11-06 09:43:32

Job location West Bloomfield, Michigan, United States

Job type: fulltime

Job industry: Executive Positions

Job description

Description + Monitor utilization of services and optimize reimbursement for the facility while maximizing use of the patient's provider benefits for their needs. + Conducts and oversees concurrent and retrospective reviews for all patients. + Act as a liaison between Medicaid reviewers and the staff completing required paperwork to facilitate the Utilization Review process. + Collaborates with physicians, therapist and nursing staff to provide optimal review based on patient needs. + Collaborates with ancillary services in order to prevent delays in services. + Evaluates the UM program for compliance with regulations, policies and procedures. + May review charts and make necessary recommendations to the physicians, regarding utilization review and specific managed care issues. + Provide staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department operation.

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