Ur Director

Palms Behavioral Health

Harlingen, Texas, US
Competitive salary commensurate with experience; c...
Supervise utilization review staff
Conduct concurrent and retrospective reviews
Manage insurance appeals and denials
The Director of Utilization Management leads the department by reviewing admissions, continued stays, and discharge planning against clinically valid criteria

Job Summary

  • The Director of Utilization Management leads the department by reviewing admissions, continued stays, and discharge planning against clinically valid criteria.
  • This role requires managing a team to ensure timely insurance verifications while optimizing facility reimbursement and client benefit usage.
  • Palms Behavioral Health offers a comprehensive benefit plan and competitive salary, with a specific dedication to serving Veterans through specialized programming.

Matching Summary

The Director of Utilization Management leads the department by reviewing admissions, continued stays, and discharge planning against clinically valid criteria.

Salary

Competitive salary commensurate with experience; Comprehensive benefit plan included

Skills & Requirements

Must-have

  • Supervise utilization review staff
  • Conduct concurrent and retrospective reviews
  • Manage insurance appeals and denials
  • Ensure regulatory compliance standards
  • Coordinate with medical and business offices

Nice-to-have

  • Experience serving veteran populations
  • Master's degree in behavioral health
  • Six years clinical experience preferred
  • Motivating team members effectively
  • Problem-solving for coverage issues

Key Requirements

  • Bachelor's degree required; Master's preferred
  • Four years medical/psychiatric UM experience
  • Current LPN, RN, or clinical license
  • Three years supervisory experience required
  • CPR and de-escalation certification required

Work Rights

Not specified

Tailored Resume

Cover Letter