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Director Of Utilization Review

Universal Health Services, Inc.

This is a Full-time position in Augusta, MI posted May 1, 2021.

Professional, Behavioral Health
– Therapist, Insurance
– Claims, Insurance
– Risk, Management, Medical Billing Day 81960 Lighthouse Care Center of Augusta
Job Description
Responsibilities

Lighthouse Care Center of Augusta (LCCA) is a multi-discipline behavioral healthcare center that offers mental health services to the communities of surrounding Augusta, Georgia.

The Lighthouse Care Center of Augusta is an acute and residential treatment facility providing balanced, top-notch clinical care to children, adolescents and young adults.

We provide a carefully-structured and supportive environment, and our education program is accredited through the Georgia Accrediting Commission.

Lighthouse Care Center of Augusta is looking for a fantastic Director of Utilization Review (UR).

The Director of Utilization Review is a working manager who oversees the Utilization Review staff for all inpatient services and takes on a caseload.

The Utilization Review Manager will review clinical content of medical record, participate in treatment team meetings, collaborate with physicians, therapist, nurses and pertinent staff on gathering the necessary data to communicate with insurance companies/authorizing entities to ensure initial precertification and continued authorization is achieved.

Utilization Review Manager will ensure input of pre-certifications and continued stay reviews into Midas, follow-up on unfinished pre-certifications from the day before and coordinate with the treatment team on any follow-ups necessary.

The Utilization Review Manager will be trained in all aspects relative to timely gathering clinical criteria, communication of clinical criteria, and entry of supporting clinical criteria into computer based systems, in addition to other job duties.

Benefits included:
Challenging and rewarding work environment Competitive Compensation Generous Paid Time Off and Extended Leave Bank Excellent Medical, Dental, Vision and Prescription Drug Plans 401(K) with company match and discounted stock plan
Qualifications

POSITION REQUIREMENTS/QUALIFICATIONS:

EDUCATION:

Masters Degree in nursing, social work, mental health/behavioral sciences, or related field required.

EXPERIENCE: 

A minimum of five (5) years direct clinical experience in a psychiatric or mental health treatment setting, including one year of managing a related function preferred.

Experience in patient assessment, family motivation, treatment planning and communication with external review organizations or comparable entities.

Are you interested in learning more about opportunities with Lighthouse Care Center of Augusta?

Lighthouse Care Center of Augusta is owned and operated by a subsidiary of Universal Health Services, Inc.

(UHS), a King of Prussia, PA-based company, that is one of the largest healthcare management companies in the nation.
UHS is a registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc.

and a wholly-owned subsidiary of Universal Health Services.

Universal Health Services, Inc.

is a holding company and operates through its subsidiaries including its management company, UHS of Delaware, Inc.

All healthcare and management operations are conducted by subsidiaries of Universal Health Services, Inc.

To the extent any reference to “UHS” or “UHS facilities” on this website including any statements, articles or other publications contained herein relates to our healthcare or management operations it is referring to Universal Health Services’ subsidiaries including UHS of Delaware.

Further, the terms “we,” “us,” “our” or “the company” in such context similarly refer to the operations of Universal Health Services’ subsidiaries including UHS of Delaware.

Any employment referenced in this website is not with Universal Health Services, Inc.

but solely with one of its subsidiaries including UHS of Delaware, Inc.

Lighthouse Care Center of Augusta is an Equal Opportunity Employer and as such, openly supports and fully commits to recruitment, selection, placement, promotion and compensation of all 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.

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