Gulfport Behavioral Health System · 11 hours ago
UTILIZATION REVIEW MANAGER
Gulfport, MS
Full-time
Onsite
Mid, Senior Level
3+ years expGulfport Behavioral Health System is a 92-bed psychiatric hospital offering a range of behavioral health programs and treatment services. The Utilization Review Manager is responsible for overseeing the Utilization Review Department, evaluating patient medical records, and liaising with insurance companies to ensure appropriate care levels and reimbursement for services provided.
Mental Health Care
Responsibilities
Assumes responsibility for the functioning of the Utilization Review Department
Provides utilization review services in a manner consistent with the philosophy and objectives of the facility
Evaluates patient medical records to determine severity of patient’s illness and determines the appropriateness of level of care
Serves as liaison for patients and hospital with insurance companies
Negotiates and advocates for patient length of stay and level of care
Oversees utilization review activities with other departments to ensure reimbursement for services provided by the hospital
Qualification
Required
Bachelor degree in Nursing or Master's Degree in human services field preferred
Minimum of 2 years clinical experience and 1 year of management experience with case management and the utilization review process including concurrent reviews
Current license in the state of Mississippi, including RN, LMSW, LMFT, LPC
Preferred
Previous continuum of care experience highly preferred
Benefits
Challenging and rewarding work environment
Career development opportunities within UHS and its Subsidiaries
Competitive Compensation
Excellent Medical, Dental, Vision and Prescription Drug Plan
401(K) with company match and discounted stock plan
Generous Paid Time Off
Free Basic Life Insurance
Tuition Reimbursement
Company
Gulfport Behavioral Health System
We offer mental and behavioral health services to adults (18 and older), adolescents (12 to17), pre-adolescents (8 to 11), and is the only provider to children (ages 4 to 7) in the six southern counties in Mississippi.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase