07 Aug
Manager-Utilization Management
New Mexico, Santa fe / taos 00000 Santa fe / taos USA

Vacancy expired!

DescriptionLife Healing Center is nestled in the beautiful Sangre de Cristo mountains of Santa Fe, New Mexico. We are a well-established 46-bed residential program for adults suffering with complex trauma, primary mental health issues and addiction. For the past 30 years, our team of behavioral health professionals has held space for profound healing and recovery.We currently offer detox, residential, and partial hospitalization levels of care. Our therapeutic programming draws upon evidence-based approaches including CBT, DBT and trauma informed therapies such as psychodrama, art therapy and somatic psychotherapy. Individual and group therapy are enhanced by our adjunctive services including equine therapy, & EMDR,The Manager UM will provide consultation and guidance regarding admissions and patient length of stay to a variety of payers.Secure authorizations with insurance companies for inpatient treatment and continue to obtain authorizations through ongoing clinical reviews until patient discharges from treatment.Evaluate the utilization operation for compliance with mandatory policies and procedures.Review clinical documentation from denied stays against criteria to determine if documentation is adequate for requested treatment.Maintain efficient, positive customer service attitude towards patients, their families and co-workers while being responsive to customer needs.May provide oversight and direction to utilization staff.Licensed LPN or RN, or Associate's Degree, Bachelor's Degree in Social Work, behavioral or mental health, Nursing or other related health field; Master's degree in Social Work, Counseling, Nursing, or related health field preferred. Four or more year's clinical experience with the population of the facility and previous experience in utilization management preferred. One or more years of supervisory experience required.QualificationsSkillsRequired

Written Communication: Advanced

Typing: Advanced

Ten key: Intermediate

Safety Minded: Advanced

Problem Solving: Advanced

Planning & Organizing: Advanced

Oral Communication: Advanced

Networking: Advanced

Negotiating: Advanced

Leadership: Advanced

Innovation: Advanced

Financial Awareness: Advanced

Customer Focus: Advanced

Communication: Advanced

Computer - Word: Advanced

Computer - Excel: Advanced

Attention to Detail: Advanced

BehaviorsRequired

Thought Provoking: Capable of making others think deeply on a subject

Team Player: Works well as a member of a group

Loyal: Shows firm and constant support to a cause

Leader: Inspires teammates to follow them

Innovative: Consistently introduces new ideas and demonstrates original thinking

Functional Expert: Considered a thought leader on a subject

Enthusiastic: Shows intense and eager enjoyment and interest

Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well

Dedicated: Devoted to a task or purpose with loyalty or integrity

MotivationsRequired

Work-Life Balance: Inspired to perform well by having ample time to pursue work and interests outside of work

Self-Starter: Inspired to perform without outside help

Peer Recognition: Inspired to perform well by the praise of coworkers

Job Security: Inspired to perform well by the knowledge that your job is safe

Growth Opportunities: Inspired to perform well by the chance to take on more responsibility

Goal Completion: Inspired to perform well by the completion of tasks

Flexibility: Inspired to perform well when granted the ability to set your own schedule and goals

Financial: Inspired to perform well by monetary reimbursement

Entrepreneurial Spirit: Inspired to perform well by an ability to drive new ventures within the business

Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization

EducationRequired

Associates or better in Nursing/Healthcare

Preferred

Masters or better in Psychology

Bachelors or better in Psychology

ExperienceRequired

4 years: 4 Years Minimum

Equal Opportunity Employer/Protected Veterans/Individuals with DisabilitiesThe contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)

Vacancy expired!


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