Utilization Review Associate Director

A company is looking for an Associate Director of Utilization Review. Key Responsibilities Manage and lead the Utilization Review staff Develop, implement, and improve policies and procedures for utilization review functions Ensure compliance with payor authorization procedures and requirements Required Qualifications Minimum of five years' experience in utilization review or case management within a behavioral health or substance abuse setting Bachelor's degree in behavioral health, healthcare administration, or a related field; advanced degree preferred Minimum of three years management or leadership experience required Strong knowledge of behavioral health medical necessity criteria and level of care guidelines Strong knowledge of Microsoft Office products (Word, Excel, Access, PowerPoint, etc.)

Apr 8, 2025 - 00:35

A company is looking for an Associate Director of Utilization Review. Key Responsibilities Manage and lead the Utilization Review staff Develop, implement, and improve policies and procedures for utilization review functions Ensure compliance with payor authorization procedures and requirements Required Qualifications Minimum of five years' experience in utilization review or case management within a behavioral health or substance abuse setting Bachelor's degree in behavioral health, healthcare administration, or a related field; advanced degree preferred Minimum of three years management or leadership experience required Strong knowledge of behavioral health medical necessity criteria and level of care guidelines Strong knowledge of Microsoft Office products (Word, Excel, Access, PowerPoint, etc.)