Job description

Acadia Healthcare-River Place Behavioral Health, an affiliate of Ochsner Health System, provides state-of-the-art psychiatric care for adults who are struggling with depression, anxiety, bipolar disorder, and other mental health concerns.

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.
• 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.

EDUCATION/EXPERIENCE:

• Bachelor's Degree in nursing or other clinical field required.
• Four or more years’ experience in utilization management required.

• Three or more years of supervisory experience required.

LICENSES/CERTIFICATIONS:

• Current licensure as an LPN or RN or current Clinical Professional license or certification, as required.

Job Type: Full-time

Pay: $70,000.00 - $80,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Employee discount
• Flexible schedule
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Relocation assistance
• Tuition reimbursement
• Vision insurance

Medical specialties:

• Psychiatry

Physical setting:

• Acute care
• Hospital
• Inpatient
• Office

Schedule:

• Day shift
• Monday to Friday

COVID-19 considerations:
This facility requires you to be fully vaccinated for Covid-19 based on local, state and/or federal law or regulations (unless a medical or religious exemption is approved).

Education:

• Bachelor's (Required)

Experience:

• Utilization management: 4 years (Required)
• Supervising: 3 years (Required)
• Clinical: 6 years (Preferred)

Work Location: One location

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