Acadia Healthcare
Manager of Utilization Management
Acadia Healthcare, Wilmington, North Carolina, United States, 28412
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Manager of Utilization Management
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Acadia Healthcare 1 day ago Be among the first 25 applicants Join to apply for the
Manager of Utilization Management
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Acadia Healthcare Get AI-powered advice on this job and more exclusive features. Our Utilization Manager is essential to patient care. This position is responsible for overseeing, utilization of services and optimizing reimbursement for the facility while maximizing use of the patient’s provider benefits for their needs. They Utilization team work closely with our clinical and medical departments to ensure medical necessity is documented.
Essential Job Functions
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.
Requirements
Bachelor's degree required. One or more years supervisory experience required. Four or more year's clinical experience with the population of the facility and previous experience in utilization management required. Teamwork and excellent customer service CPI and CPR Certifications (offered on site) Bachelor's or master’s degree in social work, behavioral or mental health, Nursing or other related health field preferred. Licensed Clinician preferred
Benefits
UMR Health Insurance (3 plans to choose from, eligible after 30 days of employment) Delta Dental (2 plans to choose from) VSP Vision Insurance Paid life and AD&D insurance 401k with a matching contribution Paid Vacation/Sick/Extended Sick/Personal/Holiday time Short term and Long term disability License/certification renewal and CEU reimbursement Free onsite employee fitness center Free meals Employee Discount program Employee Fun events Annual performance review and Merit increase review Salary increases for obtaining education degrees, professional certification and/or licensure (based on program of study/field of certification and licensure) License/Certification renewal and CEU reimbursement
For the 5th consecutive year, Wilmington Treatment Center has been recognized by Newsweek magazine as one of the best Addiction Treatment Centers in the US. We are North Carolina's premier substance abuse recovery hospital and rehabilitation center located in the beachside community of Wilmington, NC. What began as a 22 bed hospital on one campus in 1984 has grown into a 260 bed hospital spanning 3 campuses - and we are still growing! We are a team of professionals dedicated to helping our patients begin their recovery from the disease of addiction. Even though we are growing, we still maintain that feeling of a close-knit community. We offer a fantastic comprehensive benefit package, a great team of co-workers as well as the opportunity to make a difference in the lives of those we serve.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. null Seniority level
Seniority level Mid-Senior level Employment type
Employment type Full-time Job function
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Manager of Utilization Management
role at
Acadia Healthcare 1 day ago Be among the first 25 applicants Join to apply for the
Manager of Utilization Management
role at
Acadia Healthcare Get AI-powered advice on this job and more exclusive features. Our Utilization Manager is essential to patient care. This position is responsible for overseeing, utilization of services and optimizing reimbursement for the facility while maximizing use of the patient’s provider benefits for their needs. They Utilization team work closely with our clinical and medical departments to ensure medical necessity is documented.
Essential Job Functions
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.
Requirements
Bachelor's degree required. One or more years supervisory experience required. Four or more year's clinical experience with the population of the facility and previous experience in utilization management required. Teamwork and excellent customer service CPI and CPR Certifications (offered on site) Bachelor's or master’s degree in social work, behavioral or mental health, Nursing or other related health field preferred. Licensed Clinician preferred
Benefits
UMR Health Insurance (3 plans to choose from, eligible after 30 days of employment) Delta Dental (2 plans to choose from) VSP Vision Insurance Paid life and AD&D insurance 401k with a matching contribution Paid Vacation/Sick/Extended Sick/Personal/Holiday time Short term and Long term disability License/certification renewal and CEU reimbursement Free onsite employee fitness center Free meals Employee Discount program Employee Fun events Annual performance review and Merit increase review Salary increases for obtaining education degrees, professional certification and/or licensure (based on program of study/field of certification and licensure) License/Certification renewal and CEU reimbursement
For the 5th consecutive year, Wilmington Treatment Center has been recognized by Newsweek magazine as one of the best Addiction Treatment Centers in the US. We are North Carolina's premier substance abuse recovery hospital and rehabilitation center located in the beachside community of Wilmington, NC. What began as a 22 bed hospital on one campus in 1984 has grown into a 260 bed hospital spanning 3 campuses - and we are still growing! We are a team of professionals dedicated to helping our patients begin their recovery from the disease of addiction. Even though we are growing, we still maintain that feeling of a close-knit community. We offer a fantastic comprehensive benefit package, a great team of co-workers as well as the opportunity to make a difference in the lives of those we serve.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. null Seniority level
Seniority level Mid-Senior level Employment type
Employment type Full-time Job function
Job function Health Care Provider Industries Mental Health Care Referrals increase your chances of interviewing at Acadia Healthcare by 2x Get notified about new Clinic Manager jobs in
Wilmington, NC . Nurse Manager, Family Care (Women & Children)
RN Clinical Manager $10,000 Sign on Bonus
Leland, NC $75,000.00-$88,000.00 1 month ago RN Clinical Manager $10,000 Sign on Bonus
Leland, NC $75,000.00-$88,000.00 1 month ago Registered Nurse Care Manager / Case Management (RN)
Manager Central Staffing and Scheduling Office - RN Float Pool
Float Nurse - Licensed Psychiatric Nurse or Licensed Vocational Nurse
We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr