We offer a full suite of benefits ranging from:
Competitive Pay Rate Paid Time Off Paid Holidays Medical, Dental, & Vision Insurance FSA & HSA Plans Long-Term & Short-Term Disability Company Paid Life Insurance Supplemental Life Insurance Employee Assistance Program Employee Discount Program 401(k) Retirement Plan with Company MatchSalary Range: $101,500 to $125,000 DOE
THIS POSITION REQUIRED DAILY ATTENDANCE ON SITE - NO REMOTE WORK AVAILABLE
Coachella Valley Behavioral Health, a new premier inpatient treatment center for adults age 18 and older, is opening soon and will set the standard for nursing care in behavioral health. Our 80-bed hospital offers comprehensive training, dynamic leadership, and personalized support so you can achieve your greatest potential.
Director - Utilization Management responsibilities include:
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.EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
Bachelor's Degree in nursing or other clinical field required. Master's Degree in clinical field preferred. Six or more year's clinical experience with the population of the facility preferred. Four or more years’ experience in utilization management required. Three or more years of supervisory experience required.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.