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Director of Utilization Review at Springstone Inc.

Posted in General Business 30 days ago.

This job brought to you by eQuest

Type: Full-Time
Location: Columbus, Ohio





Job Description:

Overview

Columbus Springs East is a 72-bed behavioral hospital located near Columbus, OH. The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents and their families. At Columbus Springs we are dedicated to Changing People's Lives®.

The Utilization Review department plays an essential role in helping fulfill our mission of "Changing People's Lives®". Utilization Review team members advocate on behalf of our patients to managed care providers for necessary treatment. As a Utilization Review Director, you will ensure your team accurately and timely completes utilization review activities.

Members of our team Enjoy:


  • Working with a highly engaged staff

  • Healthy staffing levels

  • Flexible scheduling

  • Career growth

  • Competitive compensation


A Comprehensive Benefit package is offered to Full and Part time team members.

Position Details


  • Oversee the Utilization Review department, ensuring staff has completed all assignments and monitors performance.

  • Ensure all pre-certifications are completed for inpatient and outpatient services.

  • Monitor hospital LOS, reports appropriately, and educates other departments regarding their role in maintaining appropriate length of stay for all patients.

  • Assist 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

  • Interface with managed care organizations, external reviews, and other payers.

Qualifications

Requirements:


  • Bachelor's Degree

  • Current encumbered clinical licensure and valid drivers' license

  • CPR and CPI Certification within 30 day of employment


Experience:
  • Previous utilization review experience in a psychiatric healthcare facility preferred