Responsibilities

Director of Utilization Review (UR) / Utilization Management (UM) Turning Point has an opening for a full-time Director of Utilization Review (UR) / Utilization Management (UM). The Director works closely with the Medical Office, Admissions/Intake, Nursing and Clinical departments to ensure quality of documentation of patient care. This important position implements and manages the Utilization Management Plan and identifies trends which impact service delivery for quality improvement. Assures adherence to Accrediting and Regulatory Agency requirements maintaining records to ensure compliance. Analyzes insurance, governmental, and accrediting agency standards to determine criteria concerning admissions, treatment, and length of stay of patients. Coordinates all aspects of the hospital’s utilization review process to ensure that every patient receives quality care through utilization of adequate resources in the most cost-effective manner. Performs admission and concurrent reviews of patients and assures optimum quality of care as part of treatment teams. Supervises Utilization Review department ensuring continuing education and competency of staff. Apply online at Interested in relocating to our community? Learn more about the city of Moultrie and Colquitt County here: ; ; Centrally located in South Georgia, our facility is 30 minutes from I-75, hours north of Tallahassee, FL, 3 hours south of Atlanta, GA, and hours west of Jacksonville, FL. Our employees reside in Moultrie or surrounding communities including Albany, Tifton, Thomasville, and Valdosta, GA. Join our team and discover a rewarding, fulfilling career. Turning Point Care Center, LLC For more than 39 years, Turning Point Care Center has provided a place of healing and hope to adults who suffer from behavioral health disorders and/or substance abuse. We are committed to providing quality behavioral health care through our inpatient and outpatient gender specific programs in Moultrie, GA. Our serene, rural setting gives patients a secure environment where they can build their foundation for lifelong recovery. We believe in creating healthy communities, which start with healthy individuals, linked through sound relationships to their families, friends, neighbors and peers. Quality Healthcare is our passion, improving lives is our reward. We are working to change lives and transform the delivery of healthcare. Visit our website at to learn more. We offer a competitive and comprehensive benefits program including: Medical Dental Vision Life Insurance Flexible Spending Accounts Health Savings Accounts Short and Long Term Disability 401K with match Employee Stock Purchase Plan and additional voluntary benefits and discounts. (Even Pet Insurance!!) Additional benefit details provided at . Choose “I am a Guest” to view options designed to enhance and promote our employees’ health and wellbeing.

Qualifications

Licensure through state composite board for nursing or counseling/therapy:Minimum RN, LMSW, LAPC, LAMFTPreferred BSN, MSN, LCSW, LPC, LMFT Three (3) years of experience in chart analysis, utilization review, medical/clinical terminology, and acuity of illness Knowledge and understanding of a variety of insurances including: Traditional Medicare, Medicare Advantage Plans, and Commercial Plans Knowledge and experience with chemical dependency programs, mental health programs, situational evaluations, and crisis intervention, preferred. This opportunity offers the following: CEUs required for biannual licensure for Therapists (provided for free without having to use leave to attend) Rewarding work environment Growth and Development Opportunities within UHS and its 300+ Subsidiaries Excellent Medical, Dental, Vision and Prescription Drug Plan 401k plan with company match and discounted stock plan SoFi Student Loan Refinancing Program Apply online at About Universal Health Services Headquartered in King of Prussia, PA, UHS has approximately 99,000 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 States, Washington, , Puerto Rico and the United Kingdom.