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Acadia Healthcare · 1 week ago

Utilization Review Manager

New Baltimore, MI

Full-time

Onsite

Mid, Senior Level

$25/hr - $35/hr

Acadia Healthcare is seeking a passionate Utilization Review Manager to work at Harbor Oaks Hospital in New Baltimore, MI, which is a leading Mental Health and Addiction Treatment Center. The role involves monitoring service utilization, optimizing reimbursements, and managing staff to ensure effective department operations.

Mental Health Care

Responsibilities

Provide consultation and guidance regarding admissions and patient length of stay to a variety of payers

Secure authorizations with insurance companies for inpatient treatment and continue to obtain authorizations for duration of patient stay

Evaluate the utilization program for compliance with regulations, policies and procedures

Review clinical documentation from denied stays against criteria to determine if documentation is adequate for requested treatment

Provide staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department operation

Perform other functions and tasks as assigned

Qualification

Utilization ReviewInsurance AuthorizationClinical Documentation ReviewStaff ManagementLPNRN LicenseCPR CertificationDe-escalation TrainingFirst Aid Certification

Required

Current licensure as an LPN or RN or LPC, or LMSW or LLMSW 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

CPR and de-escalation and restraint certification required (training available upon hire and offered by facility)

First aid may be required based on state or facility requirements

Company

Acadia Healthcare

Glassdoor3.1

Headquartered in Franklin, Tennessee, Acadia Healthcare was established in January 2005 to develop and operate a network of behavioral health facilities across the country.

Founded in 2005