Supervisor Behavioral Health Utilization Review

Saint Luke's Crittenton Children's Center in Southwest Kansas City, MO is seeking a Supervisor of Behavioral Health Utilization Review to join our team.

This role facilitates and directs the Utilization Review Department, Case Management and Reception teams of a 24/7 inpatient residential and hospital program. Additionally, ensures compliance with all pertinent regulations, analyzes trends related to denials & authorizations, builds strong relationships with third party payers. Positive relationships with physicians, nursing supervisors and senior administration are required to ensure empathic and timely response to individual patient and community needs.

• Monday
  - Friday, dayshift, 9am
  -5pm. Remote work not preferred, but occasional opportunity, must be primarily onsite. No weekend or holiday rotations.
• Supervises and completes daily operations as assigned by Manager of Intake and Utilizations Review.
• Oversees resources and functions related to utilization review and regulatory compliance adherence.
• Responsible for training of staff, discipline and evaluations.
• Monitors and maintains data to achieve quality outcomes and progression with the departmental strategic plan.
• Collaborates and communicates with the multidisciplinary team to ensure communication of patient's treatment to the managed care provider.
• Review clinical charts in order to file appeals on denied accounts.
• Oversees scheduling and supervision needs for the Reception team.
• Must have a master's degree and current clinical licensure for State of Missouri (LPC or LCSW)
• 1-3 years in a leadership or team lead role preferred

• Applicable
  
  Experience:
  
  2 years Licensed Professional Counselor
  - Various Master's Degree
• Full Time Day (United States of America)

Equal Opportunity Employer.