Dir - Utilization Review / Mgmt

Responsibilities

WHO WE ARE:

River Oaks Hospital (a UHS affilicated 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). For more information please visit: https://riveroakshospital.com/

POSITION SUMMARY:

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.

BENEITS HIGHLIGHTS:

• Sign-on bonus $10,000

• 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!

• More information is available on our Benefits Guest Website: benefits.uhsguest.com

Qualifications

MINIMUM QUALIFICATIONS REQUIRED:

• Experience: 3-5 years clinical experience with a psychiatric mental health population and 2-3 years' experience in Utilization Review. Management experience preferred.

• Education: Bachelor's degree required, preferably in Social Work or related field. MSN or MSW preferred.

• Licensure/Certification: Licensed Therapist or Social Worker (LPC/LCSW) preferred.

• Working Knowledge: Possesses knowledge of utilization review, insurance and managed care procedures and principles of risk management and performance improvement related to a health care environment. Current knowledge of regulating /accrediting agency guidelines. Basic knowledge of statistical analysis desired.

ABOUT UNIVERSAL HEALTH SERVICES:

One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $14.3 billion in 2023. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies.Headquartered in King of Prussia, PA, UHS has approximately 96,700 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico 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:

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our 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 a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-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.