Job Description
We are pleased to announce the following available position: FT Director of Utilization Review. Must have prior Healthcare quality assurance experience to be considered for the position. This is not a remote position. Working onsite is required. The Utilization Review Director is responsible for directing and overseeing the Utilization Management Department which includes the implementation of case management scenarios, consulting with all services to ensure the provision of an effective treatment plan for all patients, oversees the response to requests for services and interfaces with managed care organization, external reviewers, and other payers. The Director is responsible for departmental reports and monitoring, PI Initiatives, participates in the AOC rotation, committees and other teams as assigned. Directly supervises less than 5 employees. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Registered Nurse, Master's Degree in Social Work or Psychology or equivalent education and experience in Utilization Review/Management. Has knowledge of regulatory and reimbursement requirements. Able to monitor and evaluate records for quality and appropriateness of care. Able to work independently and collegially with all clinical disciplines and staff within the hospital. Demonstrates leadership ability, good communication skills, ability to delegate and supervise. To apply to this position go to www.riverpointbehavioral.
com We offer:
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 Career development opportunities within UHS and its 328+ Subsidiaries! Educational Reimbursement and Assistance (FT Employees) River Point Behavioral Health, a subsidiary of UHS, is an 84-bed treatment facility, conveniently located in beautiful central Jacksonville, FL that specializes in the successful treatment of substance abuse and mental health issues for youth, adults and seniors. Our progressive team members in the fields of psychiatry, medicine, nursing, social services, education and activity therapy are all committed to provide compassionate, comprehensive care that uniquely fits the intensity and severity of each patient's needs. This commitment extends to the family and community of our patients as a whole. Universal Health Services, Inc. , one of the nation's largest and most respected providers of hospital and healthcare services, has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, our annual revenues were $15.8 billion in 2024. UHS was again recognized as one of the World's Most Admired Companies by Fortune; in 2019, ranked #293 on the Fortune 500; and in 2017, listed #275 in Forbes inaugural ranking of America's Top 500 Public Companies by Fortune. Headquartered in King of Prussia, PA, UHS has more than 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral facilities, outpatient facilities and ambulatory care access points, and insurance offering, a physician network and various related services located all over the United States, Washington, DC, Puerto Ricco and the United Kingdom. www.uhs.com EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. Avoid and Report Recruitment Scams We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information. At UHS all our subsidiaries, our Human Resources departments and recruiters are here to help perspective candidates by matching skill set and experience with the best possible career path at UHS and subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information ( e.g. social security number, credit card, or bank information etc., from you via email) Our recruiters will not email you from public webmail like Hotmail, Gmail, Yahoo mail etc. If you suspect a fraudulent job posting or related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters. Care Provider Background Screening Clearinghouse Education and Awareness website: https://info.flclearinghouse.com Job Type:
Full-time Benefits:
401(k) 401(k) matching Dental insurance Employee assistance program Employee discount Flexible schedule Flexible spending account Health insurance Life insurance Paid time off Tuition reimbursement Vision insurance Experience:
Utilization Review:
3 years (Required) Work Location:
In person