Director of Utilization Review

Universal Health Services seeks a Director of Utilization Review to oversee the department, evaluate patient records, and coordinate care levels with insurance companies at Gulfport Behavioral Health System.

• Evaluate patient medical records
• Negotiate insurance and reimbursement
• Oversee utilization review activities
• Coordinate with hospital departments
• Ensure appropriate level of care

Role involves clinical review of patient records, insurance negotiations, and case management within behavioral health and inpatient/outpatient settings.

The ideal candidate is a healthcare professional with at least 2 years of clinical experience in utilization review, familiar with insurance negotiations and case management, preferably with management experience in behavioral health settings.

Preferred