Job Description
Director of Utilization Review Meadowview Behavioral Hospital Peoria, IL Job Details Full-time $85,000 - $110,000 a year 21 hours ago Benefits Free parking Paid holidays Disability insurance Health insurance Dental insurance Paid time off Employee assistance program Vision insurance 401(k) matching Life insurance Qualifications Behavioral health hospital experience Direct patient care Case assessment Initial patient assessment Mental health facility experience Bachelor's degree Healthcare treatment Psychiatric hospital experience Full Job Description
JOIN OUR TEAM AS OUR DIRECTOR OF UTILIZATION REVIEW
(UR)! Annual bonus opportunity! Your Work Matters How will you make a difference? Meadowview Behavioral Hospital is seeking an experienced and strategic Director of Utilization Review (UR) to lead and oversee our Utilization Management Program. This is a critical leadership role that directly supports patient care, payer compliance, and the hospital's operational and financial performance. If you are passionate about behavioral health, thrive in a collaborative environment, and understand the importance of aligning clinical care with medical necessity and payer requirements, we invite you to join a close-knit, compassionate team dedicated to making a meaningful difference in the lives of our patients and their families. Provide leadership and oversight of the Utilization Review and Utilization Management Program Ensure timely initial and continued stay reviews in accordance with payer, regulatory, and accreditation standards Collaborate with clinical leadership, providers, nursing, social work, and case management to support effective, medically necessary treatment plans Interface with managed care organizations, external reviewers, and payors regarding authorizations, continued stay reviews, and denials Oversee responses to service requests, audits, and payer inquiries Supervise and support daily performance improvement activities, ensuring corrective actions are implemented in accordance with organizational policies Review department and service performance measures related to utilization, quality, and outcomes Maintain records of performance improvement initiatives, metrics, and statistical tools used to evaluate program effectiveness Coordinate and present utilization and performance findings to the Quality Council, Medical Executive Committee, and Board as required Advise and support departments and committees accountable for performance improvement and utilization oversight Your Experience Matters What we're looking for: Education & Licensure:
Bachelor's degree in Nursing, Social Work, Mental Health, Behavioral Sciences, or a related field required. A master's degree is strongly preferred. Experience:
Minimum of five (5) years of direct clinical experience in a psychiatric or mental health treatment setting. At least one (1) year of leadership or management experience in utilization review, case management, or a related function preferred Demonstrated experience in: Patient assessment and treatment planning Family engagement and motivation Communication and collaboration with external review organizations, managed care entities, or similar payors Your Care Matters What we provide for our team: 401(k) + matching Health insurance 100% company-paid life insurance coverage up to 2x your annual salary Vision insurance Dental insurance 100% company-paid long-term disability insurance Paid time off Paid holidays Cafeteria on site Employee engagement events Employee assistance program Employee recognition program Free parking What sets us apart: Career & training development opportunities Dynamic and inclusive work environment Engaged management team dedicated to your success A guiding mission and set of values that serve as both our northstar and yours, anchoring our collective purpose and aspirations Disclaimer:
Select benefits are available only to full-time positions. Benefits are subject to change at the discretion of Meadowview Behavioral Hospital. Compensation :
This is a full-time position with an expected compensation range of $85,000 - $110,000 annually, plus eligibility for an annual performance bonus. Compensation is commensurate with experience and qualifications. Join us as our Director of Utilization Review (UR)! Get to know us Outstanding Care, Compassionate People, Unparalleled Service Join us in providing exceptional care and contributing to the well-being of individuals and families in need, and be a part of the transformative healthcare experience at Meadowview Behavioral Hospital. To learn more about MBH, visit us at: https://meadowviewbehavioralhospital.com/ TOGETHER WE CAN MAKE POSITIVE I.M.P.A.C.T.S. I
ndividuals M aintaining P ositive A ttitude a nd C ommitment T o S ervice ____________________________________________________________ At Meadowview Behavioral Hospital, we value a diverse, inclusive workforce and provide equal employment opportunities for all applicants and employees. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, pregnancy, parental status, genetic information, political affiliation, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.
