Utilization Management (UM) Coordinator

Job Address: 10123 Alliance Road, Sutie 300 Blue Ash, OH 45242 Role: UM Director Job Post Title: Utilization Review Director Shift: M-F Hours: 8-4:30 9-5 The Role Itself Oversees service requests, authorizations and LOS metrics. Reviews documentation quality for clinical effectiveness in regards to reimbursement. Participates in clinical team for goal alignment and compliance. Manages patient transitions between LOC and updates denial log.

Develops processes to minimize denials and provides education. Possesses strong knowledge of external review organizations. Facilitates UM team meetings. Perks with us! Medical Packages with Rx – 3 Choices Flexible Spending Accounts (FSA) Dependent Care Spending Accounts Health Spending Accounts (HSA) with a company match Dental Care Program – 2 choices Vision Plan Life Insurance Options Accidental Insurances Paid Time Off + Paid Holidays Employee Assistance Programs 401k with a Company Match Education + Leadership Development Up to $15,000 in Tuition Reimbursements Student Loan Forgiveness Programs Education: Related and relevant field experience Or Bachelor's Degree in Nursing, Social Work, Mental Health/Behavioral Sciences, Or Master's Degree Must be 21 yrs or older License: LPN, RN, LMSW, LPC, BSW, LSW, LPCC, LISW or applicable license preferred.