Project Intake & Utilization Director

Job description

Overview PURPOSE STATEMENT: Extensive Travel Is Required The Project Intake and Utilization Director provides onsite leadership, direction, assistance, and acts as the interim Director to all assigned Acadia facilities in the area of Utilization Management. The Project Intake & UM Director identifies root causes and trends for adverse Intake and Utilization denial expense outcomes. Collaborates and coordinates with corporate operations and clinical partners to optimize reimbursement outcomes. The Corporate Intake & UM Project Director collaborates and coordinates with corporate operations and clinical partners to optimize reimbursement. Travel is required for this role up to 100% of time. ESSENTIAL FUNCTIONS: The Intake and UM Project Director collaborates with clinical services to ensure clinical documentation provides rationale to ensure authorization is obtained via a successful utilization process. The Project UM Director’s focus on UM includes process, challenges, and outcomes as it pertains to ongoing authorization, denial and appeal management and prevention, payer analysis, data metric collection and strategic planning based on the data collected. - Provides on-site leaders...