Description

The Director Utilization Management is responsible for oversight and management of all utilization review/case management activities for the facility’s inpatient, partial hospitalization, and outpatient programs. This position oversees all aspects and daily processes of the Utilization Management department. Conducts audits of all medical records to ensure criteria for admission and continued stay are met and documented and ensures timely discharge planning. Coordinates information between third party payers and medical/clinical staff members. Interacts with members of the medical/clinical team to provide a flow of communication and a medical record which documents and supports level and intensity of service rendered. All duties to be done in accordance with Joint Commission, Federal and State regulations, Oceans' Mission, policies and procedures and Performance Improvement Standards.

Essential Functions: