Director of product management Jobs in Elgin, IL

Responsibilities Director of Utilization Management Full-Time The Director of Utilization Management is responsible for the oversight of the utilization management department. Responsibilities include monitoring team members to initiate authorization of benefits, Medical Necessity for ongoing treatment, and guiding teams to next level of care step down for patients. Work closely with several departments including Physicians, Nursing, and Therapist on documentation and importance of Medical Necessity. Help treatment teams with oversight of the flow of treatment activities offered to the consumer, including the clinical screening for appropriation of potential admissions, and appropriate level of care, initiation of treatment phase(s), interface with the treatment team, interface with external case managers and managed care organizations, oversight and implementation of discharge planning and customer service. The Director will analyze data to track trends including length of stay, documentation meeting medical necessity, and appropriateness of treatment for level of care. Provide trainings to improve clinical documentation and meet goals set on appeals and denials. Run UM committee meetings providing reports to the quality committee. Benefits include : Challenging and rewarding work environment Competitive Compensation & Generous Paid Time Off Excellent Medical, Dental, Vision and Prescription Drug Plans (K) with company match and discounted stock plan SoFi Student Loan Refinancing Program Career development opportunities within UHS and its + Subsidiaries! Streamwood Behavioral Healthcare System (SBHS) is a -bed acute care facility located in Streamwood, IL and has been providing mental health treatment to the Chicagoland community and the state of Illinois since . We are dedicated to offering services to meet the ever-changing emotional and behavioral healthcare needs of children, adolescents, adults, and their families. One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune corporation, annual revenues were $13.4 billion in . During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 94, 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 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. Qualifications EXPERIENCE / EDUCATION : Bachelor’s Degree in Nursing or Master's degree in psychology or mental / health / human services field is REQUIRED; A minimum of five years direct clinical experience in a medical-psychiatric, psychiatric or mental health setting and at least three years’ experience in utilization management is REQUIRED. Skills in consumer assessment, motivating families and other resources, treatment planning, and communicating with external review organizations or comparable entities is preferred. A minimum of two years supervisory experience is preferred. LICENSURE / CERTIFICATION : R.N., LPC / LCPC, or LSW / LCSW REQUIRED. Primary Source Verification shall be required through Illinois Department of Professional Regulations. Other relevant credentials may be accepted at the discretion of the CEO and Director of Human Resources