Excellent Hospital in the Atlanta Ga area seeks a seasoned Director of Utilization Review.
The Director of Utilization Review is responsible for overseeing the Utilization Review Program. This includes the implementation of case management scenarios, consulting with all services to ensure the provision of an effective treatment plan for all patients, oversees the response to requests for services and interfaces with managed care organizations, external reviewers, and other payors.
Qualifications
Education: Degree in nursing, social work, mental health/behavioral sciences, or related field required; Master’s Degree preferred.
Experience: A minimum of three (3) years direct clinical experience in a psychiatric or mental health treatment setting, including one year of managing a related function preferred. Experience in patient assessment, family motivation, treatment planning and communication with external review organizations or comparable entities.
Licensure: R.N, S.W. or applicable Georgia license preferred.
Job Type: Full-time
Salary: $60,000.00 to $75,000.00 /year
Education:
- Associate (Preferred)
Location:
- Atlanta, GA (Preferred)
License:
- Registered Nurse (RN) (Preferred)
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