Director of Utilization Review

at Windmoor Healthcare

Clearwater, FL

Posted on Jul. 13, 2017


Full Time


Health Insurance, Dental Insurance, Vision Insurance, 401k / Retirement Plan

Windmoor Healthcare, located in Clearwater Florida is a 144-bed comprehensive behavioral health care facility that provides a wide range of inpatient and partial hospitalization programs and services. Our facility has been providing intensive treatment of dual diagnosis issues and the comprehensive approach is highly individualized, designed to guide patients and their families through the process of intervention, assessment and treatment.

Position Summary:
Windmoor Healthcare, located in Clearwater Florida is a 144-bed comprehensive behavioral health care facility that provides a wide range of inpatient and partial hospitalization programs and services. Our facility has been providing intensive treatment of dual diagnosis issues and the comprehensive approach is highly individualized, designed to guide patients and their families through the process of intervention, assessment and treatment. We are currently seeking a Director of Utilization to join our team.

In this position you will be responsible for coordinating all aspects of the hospitals utilization review process to ensure that every patient received quality care. The Director implements and manages the Utilization Management Plan and identifies trends which impact service delivery for quality improvement. The Director manages admission, concurrent and peer reviews, as well as denials and appeals.

If you are looking for a rewarding career where you can make a difference, Windmoor is the place for you.

Job Responsibilities:
- Knowledge of utilization review process.
- Implements and manages the utilization management plan.
- Identified trends which impact service delivery for quality improvement.
- Manages admissions, and peer reviews, as well as denials and appeals.

Job Requirements:
- Register Nurse or Master Level Clinician or equivalent experience in related field.
- Associates Degree in Nursing.
- 5 years’ experience in chart analysis and utilization review in the psychiatric and chemical dependency field preferred.
- Valid Florida license e.g., RN, LMHC, LCSW, LMFT required.
- Must have excellent communication and interpersonal skills required.

Must be able to pass the AHCA livescan fingerprinting background screen.

Apply through this posting to email your resume Directly to our site recruiter! Then follow the link to the Windmoor Application page to continue the application process.

UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at UHS via-email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means.

Universal Health Services, Inc. (UHS) is one of the nation’s largest and most respected healthcare management companies, operating through its subsidiaries acute care hospitals, behavioral health facilities and ambulatory centers nationwide. Founded in 1978, UHS subsidiaries now have more than 65,000 employees. The UHS business strategy is to build or purchase healthcare properties in rapidly growing markets and create a strong franchise based on exceptional service and effective cost control. Our success comes from a responsive management style and a service philosophy based on integrity, competence and compassion.

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