Director of Utilization Review
About the role
Gulfport Behavioral Health System is an acute behavioral health hospital on the Mississippi Gulf Coast providing inpatient, partial hospitalization and outpatient services to children, adolescents, and adults. We have served our community for over 30-years and our Patriot Support Program provides inpatient around-the-clock mental health treatment to help military members and their families, veterans, and first responders cope with stressful issues every day.
We are now offering a $5,000 sign-on bonus for this opening.
Responsibilities
- Assume responsibility for the functioning of the Utilization Review Department and provide utilization review services in a manner consistent with the philosophy and objectives of the facility
- Evaluate patient medical records to determine severity of patient's illness and determines the appropriateness of level of care
- Serve as liaison for patients and hospital with insurance companies
- Negotiate and advocate for patient length of stay and level of care
- Oversee utilization review activities with other departments to ensure reimbursement for services provided by the hospital
Qualifications
- Education: Bachelor degree in Nursing or Master's Degree in human services field preferred
- Experience: Minimum of 2 years clinical experience and 1 year of management experience with case management and the utilization review process including concurrent reviews. Previous continuum of care experience highly preferred
- Licensure: Current license in the state of Mississippi, including RN, LMSW, LMFT, LPC
Benefits
- Challenging and rewarding work environment
- Career development opportunities within UHS and its Subsidiaries
- Competitive Compensation
- Excellent Medical, Dental, Vision and Prescription Drug Plan
- 401(K) with company match and discounted stock plan
- Generous Paid Time Off
- Free Basic Life Insurance
- Tuition Reimbursement
About Universal Health Services: One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500® corporation. Headquartered in King of Prussia, PA, UHS has 101,500 employees. Through its subsidiaries, UHS operates 29 acute care inpatient facilities, 346 behavioral health inpatient facilities and 168 outpatient and other facilities in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.