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CenterPointe Hospital Columbia is Hiring a Manager-Utilization Management Near Columbia, MO
- SIGN-ON BONUS: $5,000 if Licensed Registered Nurse (RN)
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:
- Perform other functions and tasks as assigned.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
- Associate's degree required. Bachelor's or master’s degree in social work, behavioral or mental health, Nursing or other related health field preferred.
- Four or more year's clinical experience with the population of the facility and previous experience in utilization management required.
- One or more years supervisory experience required.
LICENSES/DESIGNATIONS/CERTIFICATIONS:
- If applicable, current licensure as an LPN or RN within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services.
- CPR and de-escalation and restraint certification required (training available upon hire and offered by facility).
- First aid may be required based on state or facility requirements.
While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances
(e.g. emergencies, changes in workload, rush jobs or technological developments) dictate.
Experience
Required- 1 year(s): Supervisory experience
- 4 year(s): Clinical experience with the population of the facility and previous experience in utilization management.
Education
Required- Associates or better
- Masters or better in Nursing/Healthcare or related field
- Bachelors or better in Nursing/Healthcare or related field
Licenses & Certifications
Preferred- Reg Nurse
Skills
Required- Leadership
- Attention to Detail
- Communication
Behaviors
Required- Team Player: Works well as a member of a group
- Leader: Inspires teammates to follow them
- Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
- Dedicated: Devoted to a task or purpose with loyalty or integrity
Motivations
Required- Self-Starter: Inspired to perform without outside help
- Flexibility: Inspired to perform well when granted the ability to set your own schedule and goals
Job Summary
Full Time
Hospital
$103k-123k (estimate)
05/01/2024
06/29/2024
centerpointehospitalcolumbia.com
COLUMBIA, MO
25 - 50
2018
BUDDY TURNER
$10M - $50M
Hospital
Related Companies
About CenterPointe Hospital Columbia
Located in central Missouri, CenterPointe Hospital of Columbia is a 72 -bed private behavioral health hospital serving the mental health and addiction treatment needs of adolescents and adults in the Central Missouri area, as well as throughout the country. Mental Health Treatment for Adults CenterPointe provides treatment for a wide range of mental health issues, including, but not limited to: Severe depression Severe anxiety Bipolar disorder Mood disorders Trauma Schizophrenia Other psychiatric disorders CenterPointes caring, compassionate staff is highly trained to evaluate, stabilize, prov ...
ide innovative treatment and identify environmental supports for individuals affected by mental health issues. CenterPointe holds the philosophy that through a combination of therapeutic interventions, education and medically managed care, individuals can lead happy, productive and successful lives. Addiction Treatment for Adults The Changing Pointe Addiction Treatment Center at CenterPointe Hospital of St. Charles provides a full continuum of addiction treatment for adults including detoxification, a 4-week residential treatment program, dual disorder treatment (both addiction and mental health issues), outpatient treatment, medication-assisted treatment, family support groups and aftercare groups for life. The Changing Pointes treatment philosophy is based on the belief that addiction is a disease with identifiable, diagnosable symptoms. The good news is that addiction is treatable. CenterPointe believes that with an opportunity to learn about addiction, develop healthy coping skills, and with the support of a 12-step recovery model, life-long sobriety can be attained. Adolescent Treatment Program CenterPointes Stepping Stones program for adolescents provides inpatient and outpatient behavioral health treatment for youth ages 12-17. Upon admission, a comprehensive evaluation is conducted by the treatment team comprised of a physician, nurse, therapist, social worker
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The job skills required for Manager-Utilization Management include CPR, etc. Having related job skills and expertise will give you an advantage when applying to be a Manager-Utilization Management. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Manager-Utilization Management. Select any job title you are interested in and start to search job requirements.
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