Director of Utilization Review
: Job Details :

The responsibility of the UR Director is to ensure the utilization review activities are completed accurately and timely. This includes the precertification and recertification, peer to peer process, and appeals. The UR Director will report consistently and accurately to the CEO or delegate the authorization status of current patients and appeals. The Director will ensure that all UR staff members follow department and facility procedures. The Director will further ensure that communication with all relevant departments, but especially CBO and Business Office, meets staff and patient needs. The UR Director will report consistently and accurately to the CEO or delegate the authorization status of current patients and appeals. Responsibilities: Oversees the UR department, ensuring staff has completed all assignments and monitors performance. Ensures all pre-certifications are completed for inpatient and outpatient services. Ensures all re-certifications are completed for inpatient and ou...Director, Behavioral Health, Patient Services, Healthcare