Utilization Review Manager - Home Care jobs in Oklahoma

Utilization Review Director

Join a team that CARES! Here at ODMHSAS, we believe in I.C.A.R.E. – Integrity, Compassion, Accountability, Respect, and Excellence. Our mission is to promote healthy communities and provide the highest quality care to enhance the well-being of all Oklahomans. We take that very seriously – because we care!

About the Position: The individual selected for this position will plan, coordinate, and facilitate utilization review activities at several facilities across the state. This position would monitor the 60-day Medicaid benchmark, provide direction & guidance to UR Coordinators, standardize UR procedures, align internal policies & practices with TJC/CMS standards, and assist with staff transitions or shortages in UR departments. This position will be based at Griffin Memorial Hospital but will also oversee UR departments at Tulsa Center for Behavioral Health and Northwest Center for Behavioral Health.

Job Type/Salary:

• Application Period: 05/30/2024 - until filled
• Full-time
• Annual Salary is $56,800.00
• Primary Working Hours are M-F; 8-5
• FLSA Status: Exempt
• Some travel may be required

Education & Experience Required:

Education and Experience requirements at this level consist of a bachelor’s degree in public, health or business administration or a closely related field and two years of professional experience in casualty insurance business management, fiscal management, underwriting, safety/loss prevention, actuary, claims management, claims investigation, claims adjustment, or group insurance benefits management; or an equivalent combination of education and experience, substituting one year of additional qualifying experience for each year of the required education.

Knowledge, Skills, & Abilities:

Knowledge, Skills and Abilities required at this level include knowledge of the principles and practices of supervision; of agency, state and industry rules and guidelines relevant to agency operations; and of principles and methods of program evaluation. Ability is required to supervise personnel; to maintain positive working relationships; to communicate effectively, both orally and in writing; and to implement policies, procedures and programs.

Great Reasons to Work for Us:

ODMHSAS is proud to provide a comprehensive benefits package designed to support our employees and their dependents. Our benefits include:

• Generous state paid benefit allowance to help cover insurance premiums
• A wide choice of health insurance plans with no pre-existing condition exclusions or limitations
• Flexible spending accounts for health care expenses or dependent care
• Employee assistance programs and health and fitness programs
• 11 paid holidays
• 15 days of vacation and 15 days of sick leave the first year
• Retirement Savings Plan with a generous match
• Longevity Bonus for years of service
• Student Loan repayment options
• Training opportunities for CEU requirements

About us:

Griffin Memorial Hospital (GMH) is located in Norman, Oklahoma, and serves all 77 counties in Oklahoma as a Department of Mental Health and Substance Abuse Services (ODMHSAS) treatment center for adults. Griffin Memorial Hospital is a 120-bed acute psychiatric hospital serving persons aged 18 and over with severe mental illness and provides in-patient hospital care for those in need of mental health & substance abuse services.

Reasonable accommodation to individuals with disabilities may be provided upon request.

An Equal Opportunity Employer.

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