Acadia Healthcare
Director-Utilization Management
Acadia Healthcare, West Bloomfield, Michigan, United States,
Monitor utilization of services and optimize reimbursement for the facility while maximizing use of the patient’s provider benefits for their needs.
Conduct and oversee 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.
Collaborate with physicians, therapists, and nursing staff to provide optimal review based on patient needs.
Collaborate with ancillary services in order to prevent delays in services.
Evaluate the UM program for compliance with regulations, policies, and procedures.
Review charts and make necessary recommendations to the physicians regarding utilization review and specific managed care issues.
Provide staff management including hiring, development, training, performance management, and communication to ensure effective and efficient department operation.
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Conduct and oversee 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.
Collaborate with physicians, therapists, and nursing staff to provide optimal review based on patient needs.
Collaborate with ancillary services in order to prevent delays in services.
Evaluate the UM program for compliance with regulations, policies, and procedures.
Review charts and make necessary recommendations to the physicians regarding utilization review and specific managed care issues.
Provide staff management including hiring, development, training, performance management, and communication to ensure effective and efficient department operation.
#J-18808-Ljbffr