ESSENTIAL 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. This is an on-site position. Non- Remote EDUCATION/EXPERIENCE/SKILL 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.