Utilization Manager - Full-Time

Village Behavioral Health is a psychiatric residential treatment center that offers a full spectrum of treatment options for children and adolescents ages 10-17. A uniqueness about Village Behavioral Health is that we use nature as part of our therapeutic process. We are nestled in Louisville, TN right on the Tennessee River spread out over 65 wooded acres.

Benefits:

401(k) matching Dental insurance Employee assistance program Employee discount Flexible spending account Health insurance Health savings account Life insurance Paid time off Parental leave Referral program Retirement plan Tuition reimbursement Vision insurance

 

Annual salary: $51,000-60,000/year

 

Responsibilities:

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. 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:

Associate's degree required. Bachelor's or master’s degree in social work, behavioral or mental health, Nursing or other related health field preferred.  Four or more year's clinical experience with the population of the facility and previous experience in utilization management required.   One or more years supervisory experience required. If applicable, current licensure as an LPN or RN within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services. CPR and de-escalation and restraint certification required (training available upon hire and offered by facility). First aid may be required based on state or facility requirements. Valid driver's license required. Must pass pre-employment drug screen, 7-year criminal background screen, fingerprint screen, MVR screen, work history and reference check.