Director of Utilization Management (UM) / Utilization Review (UR) - Universal Health Services : Job Details

Director of Utilization Review (UR) / Utilization Management (UM) Turning Point has an opening for a full-time Director of Utilization Review (UR) / Utilization Management (UM). The Director works closely with the Medical Office, Admissions/ Intake, Nursing and Clinical departments to ensure quality of documentation of patient care. This important position implements and manages the Utilization Management Plan and identifies trends which impact service delivery for quality improvement. Assures adherence to Accrediting and Regulatory Agency requirements maintaining records to ensure compliance. Analyzes insurance, governmental, and accrediting agency standards to determine criteria concerning admissions, treatment, and length of stay of patients. Coordinates all aspects of the hospitals utilization review process to ensure that every patient receives quality care through utilization of adequate resources in the most cost-effective manner. Performs admission and concurrent reviews of pa...Director, Management, Behavioral Health, Healthcare, Patient, Insurance