Come join our team at Coachella Valley as a Director of Utilization!

Coachella Valley Behavioral Health offers highly effective treatment that can help you build a strong foundation for healing. In our inpatient treatment program, we provide intensive services that can help you learn to manage symptoms and achieve a better quality of life. Individualized care is a fundamental feature of our programming. For this reason, your care is tailored to meet your needs and support you in achieving your short- and long-term wellness goals. 

​ESSENTIAL FUNCTIONS: 

• ​Monitor utilization of services and optimize reimbursement for the facility while maximizing use of the patient’s provider benefits for their needs.   
• ​Conducts and oversees concurrent and retrospective reviews for all patients.   
• ​Act as a liaison between Medicaid reviewers and the staff completing required paperwork to facilitate the Utilization Review process.   
• ​Collaborates with physicians, therapist and nursing staff to provide optimal review based on patient needs.   
• ​Collaborates with ancillary services in order to prevent delays in services.   

• ​Evaluates the UM program for compliance with regulations, policies and procedures. 
• ​May review charts and make necessary recommendations to the physicians, regarding utilization review and specific managed care issues.   
• ​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: 

• ​Bachelor's Degree in nursing or other clinical field required. Master's Degree in clinical field preferred.  
• ​Six or more year's clinical experience with the population of the facility preferred. 
• ​Four or more years’ experience in utilization management required.    
• ​Three or more years of 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. 

We are committed to providing equal  employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.

AHMKT

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