Utilization Review Manager

Overview

We are now offering a $5,000 sign-on bonus for our Utilization Review Manager opening!

Gulfport Behavioral Health System is an acute behavioral health hospital on the Mississippi Gulf Coast providing inpatient, partial hospitalization and outpatient services to children, adolescents, and adults. We have served our community for over 30-years and our Patriot Support Program provides inpatient around-the-clock mental health treatment to help military members and their families, veterans, and first responders cope with stressful issues every day.

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The Utilization Review Manager will assume responsibility for the functioning of the Utilization Review Department and provide utilization review services in a manner consistent with the philosophy and objectives of the facility; evaluates patient medical records to determine severity of patient’s illness and determines the appropriateness of level of care; serves as liaison for patients and hospital with insurance companies; negotiates and advocates for patient length of stay and level of care;

oversees utilization review activities with other departments to ensure reimbursement for services provided by the hospital.

• Challenging and rewarding work environment
• Career development opportunities within UHS and its Subsidiaries
• Competitive Compensation
• Excellent Medical, Dental, Vision and Prescription Drug Plan
• 401(K) with company match and discounted stock plan
• Generous Paid Time Off
• Free Basic Life Insurance
• Tuition Reimbursement

Education
:
Bachelor degree in Nursing or Master’s Degree in human services field preferred.

Experience
:
Minimum of 2 years clinical experience and 1 year of management experience with case management and the utilization review process including concurrent reviews. Previous continuum of care experience highly preferred.

Licensure
:
Current license in the state of Mississippi, including RN, LMSW, LMFT, LPC