Utilization Review Director- Addiction Treatment - Fort Wayne, IN
6 days ago
Job summary
The Utilization Management Manager is responsible for the overall management of the UM department by leading and facilitating review of assigned admissions,continued stays, utilization practices and discharge planning according to approved clinically valid criteria.
Directs and manages the day-to-day operations and supervision of staff to obtain coverage for clients,
monitors the progress of all UR cases and insurance appeals, problem solves when necessary
and mitigates all issues with utilization. Monitors utilization of services and optimizes reimbursement
for the facility while maximizing use of the client's provider benefits for their needs.
Job description
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