Utilization Review Manager - Home Care jobs in Alaska
Utilization Review Manager - Home Care ensures quality and level of care for patients are up to established standards and comply with federal, state, and local regulations. Investigates and resolves reports of inappropriate care. Being a Utilization Review Manager - Home Care may require a bachelor's degree. Typically reports to a head of a unit/department. To be a Utilization Review Manager - Home Care typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2024 Salary.com)
Recently Added Utilization Review Manager - Home Care jobs
UTILIZATION REVIEW MANAGER
- North Star Behavioral Health
-
Anchorage, AK
FULL_TIME
-
Responsibilities:UTILIZATION REVIEW MANAGER OPPORTUNITY
North Star Behavioral Health, Alaska's premier mental health facility, is on a mission to provide hope and healing to individuals facing psychiatric or substance abuse challenges. We specialize in military-specific care for first responders, service members, veterans, and their dependents through the Chris Kyle Patriots Hospital. Our commitment is to prioritize patient care, offering excellence, comfort, and security during their most vulnerable moments. Join us, and you'll become part of a supportive network of peers and leaders dedicated to continuous learning and industry excellence. At North Star, your career can thrive through robust education opportunities and advancement within the Universal Health Services (UHS) network.
Visit us at: www.northstarbehavioral.com
Who is North Star: At North Star Behavioral Health, we are dedicated to delivering a level of care that not only meets but exceeds expectations. Our vision is simple yet profound: to provide care that patients enthusiastically recommend to their family and friends, care that physicians prefer for their patients, and care that our employees take pride in delivering every day.We uphold this vision by wholeheartedly embracing the following principles:- Service Excellence
- Continuous Improvement
- Employee Development
- Ethical and Fair Treatment
- Teamwork
- Compassion
- Innovation
Our commitment to excellence isn't just a slogan—it's a way of life at North Star Behavioral Health. If you share these values and are passionate about making a positive impact on the lives of individuals and families facing mental health challenges, we invite you to join our team.
Benefits include:- Challenging & Rewarding Work Environment
- Competitive Compensation & Generous Paid Time Off
- Excellent Medical, Dental, Vision, and Prescription Drug Plans
- 401(K) with Company Match & Discounted Stock Plan
- SoFi Student Loan Refinancing Program
- Career Development Opportunities within UHS and its 300 Subsidiaries!
- Tuition Assistance
Together, we can continue to provide the highest level of care and create a brighter future for those we serve.
As the Controller at North Star, you will report to the CFO and play a crucial role in overseeing the accounting operations. You will be responsible for producing financial reports, maintaining robust accounting records, and implementing controls and budgets to mitigate risk and ensure compliance with accounting standards.
SHIFT: 8 hour shifts
SCHEDULE: Monday - Friday, 9:00 AM - 5:00 PM
Key Responsibilities:
Leadership Collaboration: Actively participates in leadership discussions and decision-making processes as a valued member of the Leadership Team.- Utilization Management Oversight: Manages all utilization management activities, including PHP/IOP/off-campus programs, ensuring compliance with regulatory requirements.
- Documentation Training: Provides documentation training for clinical staff, including physicians, nursing, social services, and discharge planner, during New Employee Orientation.
- Physician Engagement and Liaison: Engages with physicians daily to ensure compliance, serves as a key liaison with hospital physicians, aligning engagement with payer expectations, patient acuity, and discharge planning requirements.
- UM Plan Development and Resource Management: Develops and updates the Utilization Management (UM) Plan, manages and tracks Physician Certification Forms and Emergency Care Attestations, and oversees resource management, addressing trends within the facility.
- Quality Assurance and Education: Acts as the Medical Necessity Expert, providing guidance to physicians and leadership, offering ongoing education to facility providers on Medical Necessity Guidelines, Level of Care, and payer changes.
Qualifications:Qualifications:- Bachelor's degree in Social Work or related field.
- Three (3) years clinical experience with a psychiatric mental health population preferred.
- Proven experience in a similar leadership role.
- Must be 21 years of age
One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $12.6 billion in 2021. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 89,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com
EEO StatementAll UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
NoticeAt UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449. - 22 Days Ago
RN Case Manager - Utilization Review
- Bartlett Regional Hospital
-
Bartlett, AK
PART_TIME
- This recruitment is open until filled. Bartlett Regional Hospital is searching for a RN Case Manager to join our Case Management team! This position is eligible for relocation assistance of up to $10,...
- 1 Month Ago
Registered Nurse Case Manager - Utilization Review
- Bartlett Regional Hospital
-
Bartlett, AK
PART_TIME
- This recruitment is open until filled. Bartlett Regional Hospital is searching for a RN Case Manager to join our Case Management team! This position is eligible for relocation assistance of up to $10,...
- 3 Days Ago
System Director of Utilization Review
- Southeast Alaska Regional Health Consortium
-
Juneau, AK
FULL_TIME
- Pay Range: $47.91 - $61.29 SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our prio...
- 25 Days Ago
Rehabilitation Coordinator - SESH Utilization Review
- Providence
-
Anchorage, AK
OTHER
- Description"The PPS Coordinator will ensure compliance with all CMS regulations affecting inpatient rehabilitation", specifically PPS (Prospective Payment System); establish policies, practices and pr...
- 10 Days Ago
Registered Nurse (RN) - Utilization Review
- Foundation Health Partners
-
Fairbanks, AK
FULL_TIME
- Job ID: 2024-13789 Category: Nursing Facility Name: Fairbanks Memorial Hospital Position Type: FA: Full Time Shift: Varied New Grad: No OverviewThe position is primarily accountable for performing ini...
- 23 Days Ago
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- City of Upland, CA
-
Upland, CA
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Utilities Manager (At-Will)
- City of Rialto, CA
-
Rialto, CA
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Director Utilization Management
- AMI Network
-
San Diego, CA
- I’m partnered with a major health plan in San Diego to find a Director of Utilization Management! This top-rated Medicai...
- 4/17/2024 12:00:00 AM
Utilization Management Manager
- Medasource
-
Fresno, CA
- Job Title: Interim Case Management Manager Client: Large Healthcare Provider Location: Fresno, California Start Date: AS...
- 4/16/2024 12:00:00 AM
Utilization Manager - Remote
- Gentiva
-
Mooresville, NC
- Our Company: Gentiva is an industry leader in hospice, palliative, home health, and personal home care. Our place is by ...
- 4/15/2024 12:00:00 AM
About Alaska
Alaska is the northernmost and westernmost state in the United States and has the most easterly longitude in the United States because the Aleutian Islands extend into the Eastern Hemisphere. Alaska is the only non-contiguous U.S. state on continental North America; about 500 miles (800 km) of British Columbia (Canada) separates Alaska from Washington. It is technically part of the continental U.S., but is sometimes not included in colloquial use; Alaska is not part of the contiguous U.S., often called "the Lower 48". The capital city, Juneau, is situated on the mainland of the North American ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Manager - Home Care jobs
$83,048 to $105,879