Director of Utilization at ECU Health Behavioral Health Hospital, Columbus, OH

Director of Utilization at ECU Health Behavioral Health Hospital in Columbus, OH. Est. up to $160k. Apply with swipeandhired.

Ohio Hospital for Psychiatry

Overview

We are currently seeking a Director of Utilization to join our leadership team and support our patients receiving specialized psychiatric care.

Ohio Hospital for Psychiatry is a leading medical acute inpatient & outpatient treatment center in Columbus, OH, treating suicide, addiction, memory disorders & mental health issues. This 130-bed acute care hospital offers a wide range of services, including Adult and Senior Inpatient Programs, Dual Diagnosis Programs, and Intensive Outpatient Programs (IOP) to address community needs.

PURPOSE STATEMENT:
Direct and manage the day-to-day operations of the Utilization Review department.

Responsibilities

ESSENTIAL FUNCTIONS:

• ​ 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 review s 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 FUNCTIONS:

• ​ Perform other functions and tasks as assigned.

Qualifications

EDUCATION/EXPERIENCE/SKILL 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.

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