Director of Utilization Review

Beckett Springs, part of Lifepoint Behavioral Health, nationally known healthcare organization with diversified delivery network with facilities from coast to coast, seeks passionate, patient-centric, and goal-oriented team members. We specialize in compassionate behavioral health services, including crisis stabilization, inpatient care, and outpatient treatment for acute mental health and substance use treatment. Our philosophy is built on a psychosocial model of care to decrease suicide rates, decrease addiction-related deaths, reverse the decline in life expectancy, and improve productivity in the communities we serve. We offer a collaborative work environment, competitive compensation, and flexible scheduling so you can focus on what matters–providing quality patient care. Join our team in West Chester, Ohio, to build a career that touches lives.

Benefits

• Affordable medical, dental and vision plans provided to meet the needs of full employees and their families
• Up to 16 days of PTO for full time employees
• 6 paid holidays for full time employees
• Tuition reimbursement
• 401(k) retirement plan

What you will do in this role:

• 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 outpatient services and reports status to the CEO or delegate

• Assists with creation of treatment team agenda and participates to ensure team is aware of coverage info as well as collecting information for communication with insurance or other funding source.

• Be available to educate staff members from other relevant departments on documentation requirements / medical criteria and does so in a professional, organized, and understandable manner.

Qualifications:

• Bachelor’s degree required. Master’s degree preferred.
• Previous utilization review experience in a psychiatric healthcare facility preferred.

• Current unencumbered clinical license strongly preferred.

• CPI and CPR preferred within 30 days of hire.  May be required to work flexible hours.