What are the responsibilities and job description for the Manager - Utilization position at CenterPointe Hospital?
Overview : Schedule :
Mon - Fri, 8am - 4 : 30pm
PURPOSE STATEMENT :
Monitor utilization of services and optimize reimbursement for the facility while maximizing use of the patients provider benefits for their needs.
Responsibilities :
ESSENTIAL FUNCTIONS :
- Provide consultation and guidance regarding admissions and patient length of stay to a variety of payers.
- Secure authorizations with insurance companies for inpatient treatment and continue to obtain authorizations for duration of patient stay.
- Evaluate the utilization program for compliance with regulations, policies and procedures.
- Review clinical documentation from denied stays against criteria to determine if documentation is adequate for requested treatment.
- Provide staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department operation.
OTHER FUNCTIONS :
Qualifications :
LICENSES / DESIGNATIONS / CERTIFICATIONS :
We are committed to providing equal employment opportunities to all applicants for employment regardless of an individuals characteristics protected by applicable state, federal and local laws.
