About this role
Job Address: 10123 Alliance Road, Sutie 300
Blue Ash, OH 45242

Role: UM Director Job Post Title: Utilization Review Director Shift: M-F Hours: 8-4:30 9-5 The Role Itself
• Oversees service requests, authorizations and LOS metrics.
• Reviews documentation quality for clinical effectiveness in regards to reimbursement.
• Participates in clinical team for goal alignment and compliance.
• Manages patient transitions between LOC and updates denial log.
• Develops processes to minimize denials and provides education.
• Possesses strong knowledge of external review organizations.
• Facilitates UM team meetings.
Perks with us!
• Medical Packages with Rx – 3 Choices
• Flexible Spending Accounts (FSA)
• Dependent Care Spending Accounts
• Health Spending Accounts (HSA) with a company match
• Dental Care Program – 2 choices
• Vision Plan
• Life Insurance Options
• Accidental Insurances
• Paid Time Off + Paid Holidays
• Employee Assistance Programs
• 401k with a Company Match
Education + Leadership Development
• Up to $15,000 in Tuition Reimbursements
• Student Loan Forgiveness Programs
Education:
• Related and relevant field experience
• Or Bachelor's Degree in Nursing, Social Work, Mental Health/Behavioral Sciences,
• Or Master's Degree
• Must be 21 yrs or older
License:
• LPN, RN, LMSW, LPC, BSW, LSW, LPCC, LISW or applicable license preferred.