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Cornerstone Behavioral Health El Dorado, owned and operated by Lifepoint Behavioral Health, is seeking passionate, patient-centric and goal-oriented team members to join the team at our 54-bed behavioral health facility. We specialize in compassionate behavioral health services, including high-quality, evidence-based mental health and substance use treatments. Our philosophy is built on a psychosocial model of care and follows the core principles of resilience, recovery and restoration.

We offer a collaborative work environment, competitive compensation, flexible scheduling and comprehensive benefits packages so you can focus on what really matters – providing quality patient care. Join our team in Tucson, Arizona and build a career that touches lives!

Director, Utilization Management - Behavioral Health

Tucson, Arizona

Req ID 482579 Post Date Sep. 13, 2023 CategoryCase Management FacilityCornerstone Behavioral Health El Dorado
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Description

At Lifepoint Behavioral Health, we specialize in compassionate behavioral health services, including crisis stabilization for acute mental health and substance use disorders. Our philosophy is built on a psychosocial model of care and follows the core principles of resilience, recovery and restoration. Our teams are committed to providing superior patient care that exceeds industry standards as well as patient expectations.

Success within a company doesn’t just happen. It requires committed teams of talented people who understand and embrace an organization’s goals and work together at the highest level to achieve them. Join our team of interdisciplinary doctors, nurses, therapists and other experts today!

We are seeking a passionate, creative and goal-oriented Director of Utilization Management to join the team at Cornerstone Behavioral Health-El Dorado and have an immediate impact on expanding on our success, growing our services and fulfilling our mission of improving the lives of all we touch.

As a Director of Utilization Management you will:

  • 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.

  • Manages relationships with payor and referral sources, the facilitation and coordination of the discharge planning process. 

  • Collaborates closely with the hospital CEO/Administrator, COO/Director of Nursing, Director of Clinical Services, Business Office Director and Medical Staff.


Qualifications

As a Director of Utilization Management you will have:

  • 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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