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TGH Behavioral Health Hospital

TGH Behavioral Health Hospital, operated jointly between Tampa General Hospital, USF Health and Lifepoint Behavioral Health, seeks passionate, patient-centric, and goal-oriented team members to join our team. We specialize in compassionate behavioral health services, including crisis stabilization, inpatient care, and outpatient treatment for acute mental health and substance use treatment. Our philosophy is built on a psychosocial model of care to decrease suicide rates, decrease addiction-related deaths, reverse the decline in life expectancy, and improve productivity in the communities we serve. We offer a collaborative work environment, competitive compensation, and flexible scheduling so you can focus on what matters-providing quality patient care. Join our team in Tampa, Florida, to build a career that touches lives.

Director Utilization Management

Tampa, Florida

Req ID 528657 Post Date Dec. 03, 2024 CategoryCase Management FacilityTGH Behavioral Health Hospital
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Description

Tampa General Behavioral Health Hospital, part of Lifepoint Behavioral Health, nationally known healthcare organization with diversified delivery network with facilities from coast to coast, seeks passionate, patient-centric, and goal oriented team members to join our team. We specialize in compassionate behavioral health services, including crisis-stabilization, inpatient care, and outpatient treatment for acute mental health and substance use treatment. Our philosophy is built on a psychosocial model of care to decrease suicide rates, decrease addiction-related deaths, reverse the decline in life expectancy, and improve productivity in the communities we serve. We offer a collaborative work environment, competitive compensation, and flexible scheduling so you can focus on what matters - providing quality patient care. Join our team in Tampa, Florida, to build a career that touches lives. 

Benefits:

  • New competitive pay rates
  • Tuition assistance/reimbursement
  • Expansive benefits package
  • Professional development and advancement opportunities
  • Supportive leadership and culture

What you will do in this role:

  • Directs, plans and coordinates all inpatient, partial hospital and intensive outpatient program utilization management activities. 

  • Ensures utilization review activities are completed accurately and timely.

  • This includes obtaining authorizations for services, coordinating peer-to-peer process and follow-up and managing clinical denials and appeals.

  • Coordinates closely with the hospital’s interdisciplinary teams to provide positive patient outcomes through high quality practices while managing resources efficiently. 

  • Directs the management of the financial resources of the patient and family through the coordination of quality service delivery, working to ensure financial reimbursement of each individual case as required by third party payors.


Qualifications

Qualifications:

  • Bachelor’s Degree in Social Services, Psychology or like area, or LVN/LPN.

  • Independent Practice Scope License in state of practice, LCSW, LMFT, LPC or BSN RN, Preferred.

  • Minimum three years’ experience in an Inpatient mental health setting.

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