Utilization Management Director jobs in Columbus, OH

New Vista Health and Wellness is currently seeking an experienced clinician to lead our Utilization Review department as Director of Utilization Review at River Vista, a Behavioral Health Hospital.

WHO WE ARE:

The New Vista mission: Inspiring Hope, Restoring Peace of Mind, Healing Lives. At New Vista, our passionate and highly trained team of professionals inspires hope and delivers holistic care to those in need of behavioral health services in a contemporary and healing environment – one that is conducive to providing the life skills needed to regain stability and independence. With a blend of group therapy, clinical treatment, and unique surroundings, our beautiful healthcare centers provide a safe, serene, healing environment for adults and seniors with a variety of complex needs.

Our compassionate team members work in a challenging yet rewarding environment where each person is a part of making direct impact on our patient’s lives.

COME JOIN OUR LEADERSHIP TEAM AS DIRECTOR OF UTILIZATION REVIEW AT RIVER VISTA!

THE ROLE

The Director of Utilization Review is responsible for the oversight of the Utilization Review Department for Inpatient and Outpatient Services. This includes the precertification and recertification process, peer to peer reviews, and appeal. The Utilization Review Director will ensure an appropriate discharge plan is in place for each patient discharge. The Director will accurately report the authorization status of patients and denials and appeals status to the CEO, CFO, and Business Office staff. The Director will ensure all Utilization Review staff follow department and facility procedures and ensure effective communication with all relevant departments regarding patient care needs.

JOB REQUIREMENTS

Education:

• Bachelor’s Degree in Nursing, Social Work, Mental Health/Behavioral Sciences, or related field required; Master’s Degree preferred.

Work Experience:

• Direct clinical experience in a psychiatric or mental health treatment setting, including managing a related function preferred. Experience in patient assessment, family motivation, treatment planning, and communication with external review organizations or comparable entities.

PERKS AT WORK:

Team Members enjoy a variety of perks in working with the NewVista brand company. We offer competitive market wages along with a full, robust package:

Healthcare Life Balance

• Medical Packages with Rx – 3 Choices
• Flexible Spending Accounts (FSA)
• Dependent Day Care Spending Accounts
• Health Spending Accounts (HSA) with a company match
• Dental Care Program – 2 choices
• Vision Plan
• Life Insurance Options
• Accidental Insurances
• Paid Time Off Paid Holidays
• Employee Assistance Programs
• 401k with a Company Match

Education Leadership Development

• Up to $15,000 in Tuition Reimbursements OR Student Loan forgiveness
• Mentoring Trainer Opportunities through our Horizon Mentorship Program
• Growth in Director and CEO positions through our Horizon Leadership Program
• Handle with Care Trainer – Certifications

Recognition Rewards

• On the spot recognition Prizes
• Team Member of the Quarter
• Team Member of the Year
• Monthly Celebrations
• Team Member Recognition Cards

Qualified candidates, apply now for a chance to join our outstanding team as we Inspire Hope, Restore Peace of Mind, and Heal Lives.