at Universal Health Services in STREAMWOOD, Illinois, United States
Job Description
Responsibilities
Director of Utilization Management Full-Time The Director of Utilization Management is responsible for the oversight of the utilization management department. Responsibilities include monitoring team members to initiate authorization of benefits, Medical Necessity for ongoing treatment, and guiding teams to next level of care step down for patients. Work closely with several departments including Physicians, Nursing, and Therapist on documentation and importance of Medical Necessity. Help treatment teams with oversight of the flow of treatment activities offered to the consumer, including the clinical screening for appropriation of potential admissions, and appropriate level of care, initiation of treatment phase(s), interface with the treatment team, interface with external case managers and managed care organizations, oversight and implementation of discharge planning and customer service. The Director will analyze data to track trends including length of stay, documentation meeting medical necessity, and appropriateness of treatment for level of care. Provide trainings to improve clinical documentation and meet goals set on appeals and denials. Run UM committee meetings providing reports to the quality committee. Benefits include:+ 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!
Streamwood Behavioral Healthcare System (SBHS) is a 178-bed acute care facility located in Streamwood, IL and has been providing mental health treatment to the Chicagoland community and the state of Illinois since 1991. We are dedicated to offering services to meet the ever-changing emotional and behavioral healthcare needs of children, adolescents, adults, and their families. 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 $13.4 billion in 2022. 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 94,000 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 Qualifications EXPERIENCE/EDUCATION: Bachelor’s Degree in Nursing or Master’s degree in psychology or mental/health/human services field is REQUIRED; A minimum of five (5) years direct clinical experience in a medical-psychiatric, psychiatric or mental health setting and at least three years’ experience in utilization management is REQUIRED. Skills in consumer assessment, motivating families and other resources, treatment planning, and communicating with external review organizations or comparable entities is preferred. A minimum of two (2) years supervisory experience is preferred. LICENSURE/CERTIFICATION: R.N., LPC/LCPC, or LSW/LCSW REQUIRED. Primary Source Verification shall be required through Illinois Department of Professional Regulations. Other relevant credentials may be accepted at the discretion of the CEO and Director of Human Resources 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. Notice At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449 . UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at UHS via-email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means.