Director of Utilization Review

R.L. Scott Associates/National Healthcare Search
Las Vegas, NV
Sep 07, 2017
Executive Administration Jobs
C-Level & Executive Directors
Jobs Outside Higher Education
Other Jobs Outside Higher Education
Institution Type
Outside Academe

Job Description

Purpose: To monitor adherence to the hospital's utilization review plan to ensure the effective and efficient use of hospital services in order to optimize reimbursement for the hospital and monitor the appropriateness of hospital admissions and extended hospital stays.

Requirements: -Clinical degree such as nursing, social work, psychology, health information management or other related healthcare field is preferred.

-Experience in psychiatric setting preferred; excellent telephone usage skills and strong verbal skills

-Knowledge of health care service delivery systems and third party reimbursement

-knowledge of managed care environment

-ability to apply and interpret admission and continued stay criteria

-Understanding of admission and discharge function

-Familiarity with medical terminology, diagnostic terms and treatment modalities

-Knowledge of medical record keeping

-Strong interpersonal, organizational, evaluative, and time management skills

-Policy interpretation skills

-Familiarity with applicable standards and regulations


-Attention to detail

-Ability to comprehend psychiatric evaluations, consults, lab results, etc.

-Responsiveness to deadlines

-Assertiveness, persistence, and persuasiveness

-Able to work with minimal direction or supervision.

This position requires knowledge of Excel and will report directly to the CFO. A background in behavioral healthcare highly desired. For immediate consideration, send resume AND COVER LETTER AS ATTACHMENTS WITH YOUR INQUIRY. All applications kept confidential. A highly competitive salary, relocation package and wide range of benefits is offered.

Company Description
We are an Executive Search Firm with a major focus in the Healthcare Industry. We work with select client companies . This is an organization with leadership that has a track record of success. All responses are in confidence.
R.L. "Randy" Scott

Las Vegas, NV


Wed, 6 Sep 2017 15:13:43 PDT