Director of Utilization

Come join our team at Coachella Valley as a Director of Utilization!Coachella Valley Behavioral Health offers highly effective treatment that can help you build a strong foundation for healing. In our inpatient treatment program, we provide intensive services that can help you learn to manage symptoms and achieve a better quality of life. Individualized care is a fundamental feature of our programming. For this reason, your care is tailored to meet your needs and support you in achieving your short- and long-term wellness goals.​ESSENTIAL FUNCTIONS:​Monitor utilization of services and optimize reimbursement for the facility while maximizing use of the patient’s provider benefits for their needs. ​Conducts and oversees concurrent and retrospective reviews for all patients. ​Act as a liaison between Medicaid reviewers and the staff completing required paperwork to facilitate the Utilization Review process. ​Collaborates with physicians, therapist and nursing staff to provide optimal review based on patient needs. ​Collaborates with ancillary services in order to prevent delays in services. ​Evaluates the UM program for compliance with regulations, policies and procedures.​May review charts and make necessary recommendations to the physicians, regarding utilization review and specific managed care issues. ​Provide staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department operation.​OTHER FUNCTIONS: ​Perform other functions and tasks as assigned.EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:​Bachelor's Degree in nursing or other clinical field required. Master's Degree in clinical field preferred. ​Six or more year's clinical experience with the population of the facility preferred.​Four or more years’ experience in utilization management required. ​Three or more years of supervisory experience required.​LICENSES/DESIGNATIONS/CERTIFICATIONS: ​If applicable, current licensure as an LPN or RN within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services.We are committed toprovidingequalemploymentopportunitiestoall applicantsforemploymentregardlessofanindividual’scharacteristicsprotected byapplicable state,federalandlocallaws.AHMKT#LI-CV#LI-KP1

Created: 2025-10-06