Supervisor, Utilization Mgmt - Lima, United States - Main Line Health, Inc.

Description

Could you be our next Supervisor of Mirmont Utilization Management at Mirmont Treatment Center?

Why work as a Supervisor of Mirmont Utilization Management with Main Line Health?

• Make an Impact The Supervisor of Mirmont Utilization Management will support the Manager of Denials Management and Utilization management in the management of operations both functionally and administratively. The UM Supervisor will manage UM functions by assessing, identifying, and implementing methods to ensure cost effective and quality patient care.
• Develop and Grow Your Career Invest in furthering your education through seeking certifications or advanced degrees by taking advantage of our Tuition Reimbursement This position is eligible for up to $6,000 per year based upon your Full or Part Time status.
• Get Involved Committee
• Join the Team Like our patients, the Main Line Health Family encompasses a wide range of backgrounds and abilities. Just as each of our patients requires a personalized care plan, each of our employees, physicians, and volunteers, bring distinctive talents to Main Line Health.

Regardless of our unique design, we all share a purpose:
providing superior service and care.

• Position-Specific Benefits include: You are eligible for up 200 to hours of paid time off per year based on your Full or Part Time status. We also offer a number of employee discounts to various activities, services, and vendors... And employee parking is always free

Position:
Supervisor of Mirmont Utilization Management

Shift:
Full Time - Day Shift


Experience:

• 3 years of supervisory/team lead experience required.
• Supervisory/Team Lead experience in the Behavioral Health Setting strongly preferred.
• 3 years' experience with utilization management or denial management preferred
• Responsible for the day-to-day management responsibilities for UM across the Mirmont system.
• Participates with the UM Manager in the development and implementation of standards for the department.
• Works with Counseling and Clinical teams to ensure that patients are in the appropriate level of care.
• Supports timely completion of reports and denials management data.
• Ability to analyze, interpret and present utilization and denial data.
• Monitors individual payers for specific contractual requirements in terms of denials and appeals. Reports same as requested.
• Reconciles with Finance department on claim discrepancies.

Education:
4 Year / Bachelors Degree preferred

Additional Information

• Requisition ID: 71525
• Employee Status: Regular
• Benefit Eligibility: Full-Time Benefits
• Schedule: Full-time
• Shift: Day Job
• Pay Range: $57, $89,502.40

Job Grade: 110