Utilization Management Director jobs in Alexandria, LA

Freedom Behavioral of Marksville is an adult, dual diagnosis, psychiatric DPU of Avoyelles Hospital

The Utilization Reviewer/Case Manager/Discharge Planner, in accordance with the Joint Commission, federal, and state regulations, Freedoms' mission, policies and procedures and PI standards, is responsible for coordinating with the admission staff and  clinical staff to facilitate the meeting of patient's treatment needs. This position assumes responsibility for management of the discharge plan and utilization review activities for the patients stay throughout the  program. 

The position contacts referral sources and family members in order to gather clinical information for the multidisciplinary team and reports to the treatment team.  The Utilization Reviewer/Case Manager/Discharge Planner interacts with members of the medical/clinical team to provide a flow of communication. This position accurately documents in the medical record the findings and data that supports level and intensity of service rendered.

This position is a member of the multidisciplinary team and assists in facilitating the the treatment team process. The Utilization Reviewer/Case Manager/Discharge Planner is the primary source for payer source contact and liaisons with the medical and clinical staff in order to communicate admission and continued stay criteria to referral sources, families, and payer sources as needed. Communicates with patients, families, and referral sources to ensure the positive treatment outcomes.  In addition, maintains performance improvement activities within the department and participates QM activities. The Utilization Reviewer/Case Manager/Discharge Planner adheres to the highest ethical standards regarding patient care and rights and facilitates communication to outside agencies to ensure that these patient rights, care, and needs are met.

Education Preferred:       LPN currently licensed to practice in the state of Louisiana

Experience Preferred:       1 years coordinating utilization review, case management, and discharge planning activities