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Form of work$10,000 SIGN ON!
San Jose Behavioral Health is seeking a highly skilled and experienced professional to join our team as the Director of Utilization. In this pivotal role, you will lead and optimize the Utilization Management process to ensure the delivery of high-quality, cost-effective behavioral health services to our valued patients.
San Jose Behavioral Health is a 133 bed inpatient mental health facility in Northern California. Stop by and meet our an amazing leadership team, who are engaged with our staff and our patients recovery. Growth opportunities are available and encouraged! Join a team of like-minded individuals who believe in providing compassionate and quality care. We offer employee recognition and incentive events to promote safety, healthy habits, and recognize commitment and hard work from our staff.
Conveniently located in the heart of San Jose the hospital is easily accessible to residents in Santa Clara County, San Mateo County, and Alameda County. The Hospital campus is situated amid gently rolling hills and features serene views of beautiful natural surroundings.
Responsibilities
ESSENTIAL FUNCTIONS:
- Monitor utilization of services and optimize reimbursement for the facility while maximizing use of the patient's provider benefits for their needs.
- Conducts and oversees concurrent and retrospective reviews for all patients.
- Act as a liaison between Medicaid reviewers and the staff completing required paperwork to facilitate the Utilization Review process.
- Collaborates with physicians, therapist and nursing staff to provide optimal review based on patient needs.
- Collaborates with ancillary services in order to prevent delays in services.
- Evaluates the UM program for compliance with regulations, policies and procedures.
- May review charts and make necessary recommendations to the physicians, regarding utilization review and specific managed care issues.
- Provide staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department operation.
OTHER FUNCTIONS:
- Perform other functions and tasks as assigned.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
- Bachelor's Degree in nursing or other clinical field required. Master's Degree in clinical field preferred.
- Experience in Utilization Management required.
- Three or more years of supervisoryexperience required.
LICENSES/DESIGNATIONS/CERTIFICATIONS:
- If applicable, current licensure as an LPN or RN within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services.
COMPENSATION
Compensation for roles at San Jose Behavioral Health varies depending on a wide array of factors including but not limited to the specific location, role, skill set, and level of experience.As required by local law, San Jose Behavioral Health provides a reasonable hourly range of compensation for roles that may be hired in California as set forth below.
SJBH Range = Up to $130,000 per year - DOE
AHMKT
Employment Type: FULL_TIME
