Ur Director

Contact Iron Bridge Recovery Center

Harlingen, Texas, US
Competitive salary commensurate with experience; c...
Not specified
Six or more years clinical experience
Four or more years utilization management experience
Supervisory experience in clinical setting
The Director of Utilization Management at Iron Bridge Recovery Center in Harlingen, Texas, is responsible for overseeing the utilization management department, ensuring compliance with clinical criteria, and leading a team in managing client admissions and insurance processes. The role requires a combination of clinical experience and management skills, with a strong focus on optimizing reimbursement and enhancing patient care

Job Summary

  • The Director of Utilization Management is responsible for leading the overall management of the UM department including admissions, continued stays, and discharge planning.
  • This role requires supervising staff to ensure timely insurance verifications and compliance with regulatory standards while managing all insurance appeals.
  • Palms Behavioral Health offers a comprehensive benefit plan and a competitive salary commensurate with experience and qualifications.

Matching Summary

Match Score: 80

The Director of Utilization Management at Iron Bridge Recovery Center in Harlingen, Texas, is responsible for overseeing the utilization management department, ensuring compliance with clinical criteria, and leading a team in managing client admissions and insurance processes. The role requires a combination of clinical experience and management skills, with a strong focus on optimizing reimbursement and enhancing patient care.

Salary

Competitive salary commensurate with experience; Comprehensive benefit plan included

Skills & Requirements

Must-have

  • Six or more years clinical experience
  • Four or more years utilization management experience
  • Supervisory experience in clinical setting
  • Concurrent and retrospective review expertise
  • Insurance verification and appeals management

Nice-to-have

  • Master's degree in behavioral health
  • Experience with Veterans specialized programming
  • Strong multidisciplinary team collaboration
  • Effective problem-solving skills
  • Motivating and coaching staff capabilities

Key Requirements

  • Accredited nursing or Bachelor's degree in social work/behavioral health
  • Current licensure as LPN, RN, or clinical professional license
  • CPR and de-escalation certification required
  • Minimum three years supervisory experience
  • Comprehensive understanding of hospital admission criteria

Work Rights

Not specified

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