Director of Utilization Review
Job Opportunity at PROFLUENCE RECRUITMENT

Posted on Oct 25

415-547-9089

Location: San Jose, CA
Job Type: Full Time
Job ID: W4145259

 

We are currently seeking an experienced Director of Utilization Review to join our growing team. The Director of Utilization Review conducts admissions and concurrent reviews for assigned program patients.  The Director of Utilization Review is also responsible for obtaining admission information, which includes insurance verification and benefit information from the Admissions department. Reviews charts and conducts pre-certification reviews with third-party payors, and communicates results of reviews to physician and treatment members. Supervising 3 FTEs.

Requirements/Qualifications:

Ideal candidates will have a current RN licensure; or Master’s Degree in Behavioral Health. Will consider Social Worker with extensive experience in mental health.  Qualified candidates will have a minimum of two years’ of experience in Utilization Review, in a Mental Health setting.

Salary is competitive.
Full benefits and relocation assistance

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

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