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Clinical Auditor / Utilization Reviewer
Flowood, MS
Find & Apply For Clinical Auditor / Utilization Reviewer Jobs in Flowood, Mississippi
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Responsibilities We are looking for looking for a dynamic Director of Human Resources to join our team! Brentwood Behavioral Healthcare is a provider of quality psychiatric treatment services for adults , children and adolescents . Our outpatient services are a convenient drive to areas in Hinds County, Madison County and Rankin County. We also provide inpatient services for those who need more structured treatment. As a leading provider of behavioral health services, our goal is to help individuals and families achieve optimal mental health, resulting in improved quality of life. Our dedicated team of professionals provides individualized treatment, meeting the personal needs of our customers in a secure and nurturing environment. Brentwood Behavioral Healthcare is a 120-bed acute psychiatric care facility located in Flowood, Mississippi. We are accredited by the Joint Commission of Accreditation of Healthcare Organizations and certified by Medicare, Medicaid and TRICARE®. We provide psychiatric treatment for depression, bipolar disorder, anxiety, schizophrenia, phobia and more . It is important these issues get treated so individuals are able to lead a healthy and happy life.
Position Summary:
The UR Director possesses knowledge of psychiatric clinical diagnosis and the ability to articulate those indicators professionally. The UR Director evaluates patient medical records to determine severity of patient's illness and determining the appropriateness of level of care. Serves as liaison for patients and hospital with insurance companies. Negotiates and advocates for patient length of stay and level of care. Oversees utilization review activities with other departments to ensure reimbursement for services provided by the hospital. The UR Director leads physician weekly staffing meetings and coordinates with physician's outpatient offices for the purposes of billing. The UR Director has a working knowledge of all levels of care offered and appropriately manages patient benefits.
WHAT DO OUR CURRENT EMPLOYEES VALUE AT BRENTWOOD AND UHS?
An environment that puts patient care first. One of the most rewarding aspects of this job is providing excellent care, comfort, and security to the patients and families you treat, at their most vulnerable times. Supportive and responsive leadership. You are never alone, as you are part of a large network of peer co-workers that routinely exchange ideas and review current topics within the industry. Having the opportunity to grow, learn, and advance in your career. There are very robust continuing education options and opportunities for skills diversification and career advancement with UHS. Benefit & Rewards Highlights Challenging and rewarding work environment Competitive Compensation & Generous Paid Time Off Excellent Medical, Dental, Vision and Prescription Drug Plans 401(K) with company match and discounted stock plan SoFi Student Loan Refinancing Program Career development opportunities within UHS and its 300+ Subsidiaries! Pet Insurance More information is available on our
Benefits Guest Website:
uhsguest.com
Qualifications Education:
Degree in nursing, social work, mental health/behavioral sci ence s, or related field. Combination of education and experience may be considered.
Experience:
A minimum of five (5) years ' direct clinical experience in a psychiatric or mental health treatment setting. A minimum of one year of managing a related function is preferred . Experience in patient assessment, family motivation, treatment planning and communication with external review organizations or comparable entities.
