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Job Description
DIR - UTILIZATION REVIEW / MGMT
River Oaks Hospital - 3.4 Harahan, LA Job Details Full-time 12 hours ago Benefits Health insurance Dental insurance Paid time off Vision insurance 401(k) matching Qualifications Utilization review Accreditation standards (regulatory compliance area) Bachelor's degree
Negotiation Full Job Description Responsibilities:
River Oaks Hospital, located in metropolitan New Orleans, Louisiana, is a private psychiatric facility for adults, adolescents and children. Since 1970, River Oaks has established a tradition of excellence in the treatment of acute psychiatric illness, dual diagnosis, alcohol and drug detoxification, trauma based disorders, compulsive behaviors, and eating disorders, River Oaks has provided quality treatment to service individuals suffering from mental illness, and/or addictive disorders. Situated on a 14-acre campus, services are available at all levels of care (inpatient, day or partial hospitalization, outpatient, and intensive outpatient). River Oaks Hospital is seeking a dynamic and talented
UTILIZATION REVIEW DIRECTOR
to direct and serve within the Utilization Management team. Evaluates patient medical records to determine severity of patient's illness and the appropriateness of level of care. Serves as liaison for patients and facility with insurance companies. Negotiates and advocates for patient length of stay and level of care. Coordinates utilization review activities with other departments to ensure reimbursement for services provided by the facility. Promotes patient care consistent with the philosophy and objectives of River Oaks Hospital. Performs duties in accordance with the ANA Standards of Practice for Psychiatric Mental Health Care, and facility mission, values, policies, and behavioral standards. Please visit riveroakshospital.com to submit your application today!
Qualifications:
MINIMUM QUALIFICATIONS REQUIRED
Experience:
3-5 years clinical experience with a psychiatric mental health population desired. 2-3 years experience in Utilization Review. Management experience preferred.
Education:
Bachelors prepared healthcare professional (Nursing, Counseling, Psychology or Social Work). Masters preferred.
Licensure/Certification:
Registered Nurse (RN), Licensed Therapist or Social Worker (LPC/LMSW/LCSW) preferred.
