Come join our team as a Utilization Review Director, at Oasis Behavioral Health! As part of our team, you will benefit from detailed training, ongoing support, and continued opportunities to develop new skills and move forward in your chosen profession. You'll also know that you are playing a vital role in an organization that is providing an essential service.
We offer a full suite of benefits ranging from:
· Growth Opportunities second to none in the industry
· Competitive hourly rates
· Employee Assistance Program/Employee Discount Program
Flexible hours available for Full Time: Must be able to work weekends, business hours
At Oasis Behavioral Health we specialize in inpatient and outpatient needs of children, teens, and adults. We also have a residential treatment center serving the needs of children and teens. Oasis staff members strive to offer hope to clients who are often suffering from depression, emotional pain, or trauma. Oasis works with clients to define their purpose outside of addiction and mental illness and develop discharge plans that emphasize client strengths, goals, and desired purpose. At Oasis we approach each client with optimism about their future and recovery, addressing each roadblock independently and using setbacks as growth opportunities.
Utilization Review Director responsibilities:
· 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.
· Other duties as assigned
Job 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.
Job Type: Full-time
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Disability insurance
- Employee assistance program
- Employee discount
- Flexible spending account
- Free parking
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Referral program
- Tuition reimbursement
- Vision insurance
Healthcare setting:
- Acute care
- Hospital
- Inpatient
Medical specialties:
Schedule:
- 8 hour shift
- Monday to Friday
- Weekends as needed
Education:
Experience:
- supervisory: 3 years (Required)
- Utilization review: 4 years (Required)
Ability to Relocate:
- Chandler, AZ 85225: Relocate before starting work (Required)
Work Location: In person