Acadia Healthcare

Director of Utilization

Acadia Healthcare  •  Florida (Onsite)  •  2 days ago
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Job Description

Park Royal Hospital is a private free-standing 126-bed psychiatric hospital that provides life-changing care for adolescents 13-17 years, adults 18 years, and older and senior adults. Inpatient and outpatient treatment are provided for depression, anxiety, mood disorders, memory problems, post-traumatic stress disorder, and other mental illnesses as well as co-occurring substance abuse disorders.

PURPOSE STATEMENT:

​Direct and manage the day-to-day operations of the Utilization Review department.

Responsibilities

ESSENTIAL FUNCTIONS:

  • ​Monitor utilization of services and optimize reimbursement for the facility while maximizing use of the patient’s provider benefits for their needs.
  • ​Conducts and oversees concurrent and retrospective reviews for all patients.
  • ​Act as a liaison between Medicaid reviewers and the staff completing required paperwork to facilitate the Utilization Review process.
  • ​Collaborates with physicians, therapist and nursing staff to provide optimal review based on patient needs.
  • ​Collaborates with ancillary services in order to prevent delays in services.
  • ​Evaluates the UM program for compliance with regulations, policies and procedures.
  • ​May review charts and make necessary recommendations to the physicians, regarding utilization review and specific managed care issues.
  • ​Provide staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department operation.

OTHER FUNCTIONS:

  • ​Perform other functions and tasks as assigned.

Qualifications

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

  • ​Bachelor's Degree in nursing or other clinical field required. Master's Degree in clinical field preferred.
  • ​Six or more year's clinical experience with the population of the facility preferred.
  • ​Four or more years’ experience in utilization management required.   
  • ​Three or more years of supervisory experience required.

LICENSES/DESIGNATIONS/CERTIFICATIONS:

  • ​If applicable, current licensure as an LPN or RN within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services.

This position requires a Level 2 Background Screening through the Florida Care Provider Background Screening Clearinghouse. In accordance with Florida law, employers must provide applicants with direct access to information about the state’s background screening requirements.

To learn more about disqualifying offenses, exemption procedures, and screening timelines, please visit the Agency for Health Care Administration (AHCA) Background Screening Education & Awareness webpage:

https://info.flclearinghouse.com/

Applicants are encouraged to review these requirements before applying.

We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.

Acadia Healthcare

About Acadia Healthcare

Headquartered in Franklin, Tennessee, Acadia Healthcare was established in January 2005 to develop and operate a network of behavioral health facilities across the country.

Acadia Healthcare’s mission is to create a world-class organization that sets the standard of excellence in the treatment of specialty behavioral health and addiction disorders.

Acadia’s management style and philosophy is one of collaboration and flexibility as we create an energetic and team-oriented service delivery system. Our organization values input from employees, physicians, and all strategic alliances. As evidenced in our mission statement, Acadia Healthcare’s mission is to create behavioral health centers where people receive care that enables them to regain hope in a supportive, caring environment. We want Acadia to be synonymous with excellent care, phenomenal customer service and an unparalleled commitment to our patients, staff, physicians, and community.

As a leading provider of behavioral healthcare services in the United States and Puerto Rico, Acadia Healthcare operates 253 treatment facilities across 39 states. Our network of treatment facilities offers multiple levels of care for various behavioral health and substance use disorders. At Acadia, our primary goal is to meet patients where they’re at in their treatment process. We do this by providing a multitude of levels of care, including detoxification, residential treatment for addiction, residential treatment for dual diagnosis, acute psychiatric inpatient hospitalization, medication-assisted treatment (MAT) services, and an array of outpatient programming options, ranging from partial hospitalization programs (PHPs) and intensive outpatient programs (IOPs) to traditional outpatient services. Our network of treatment facilities creates greater access to care, reduces the stigma associated with mental illness and addiction, and offers those in our communities a safe environment in which to receive the treatment they need.

Industry
Healthcare & Social Services
Company Size
1,001-5,000 employees
Headquarters
Franklin, TN
Year Founded
Unknown
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