Franklin, Tennessee, United States · On-site
Job DetailsLevel: ExperiencedJob Location: Odyssey Behavioral Healthcare - Franklin, TN 37067Position Type: Full TimeEducation Level: 4 Year DegreeJob Category: Admin - ClericalPosition Summary The Manager of Utilization…
Skills: Utilization Review, People Leadership, Denial Prevention, Regulatory Compliance, Medical Records Review
Franklin, Tennessee, United States · On-site
Job DetailsLevel: ExperiencedJob Location: Odyssey Behavioral Healthcare - Franklin, TN 37067Position Type: Full TimeEducation Level: High SchoolJob Category: FinancePosition Summary The Supervisor of Insurance Collectio…
Skills: Insurance Collections, Patient Accounting, Revenue Cycle Management, Staff Supervision, Medical Records & Appeals
Uwchlan Township, Pennsylvania, United States · On-site
Job DetailsLevel: ManagementJob Location: STR Chester County - Exton, PA 19341Position Type: Full TimeEducation Level: Graduate DegreeJob Category: Health CareWho We Are To meet an ever-expanding need for mental health a…
Skills: Clinical Oversight, Fiscal Management, Operational Leadership, Regulatory Compliance, Program Development
Uwchlan Township, Pennsylvania, United States · On-site
Job DetailsLevel: ExperiencedJob Location: STR Chester County - Exton, PA 19341Position Type: Full TimeEducation Level: Graduate DegreeJob Category: Health CareWho We Are To meet an ever-expanding need for mental health …
Skills: Individual Therapy, Family Therapy, Group Therapy, Treatment Planning, Crisis Intervention
Uwchlan Township, Pennsylvania, United States · On-site
Job DetailsLevel: ExperiencedJob Location: STR Chester County - Exton, PA 19341Position Type: Part TimeEducation Level: Graduate DegreeJob Category: Health CareWho We Are To meet an ever-expanding need for mental health …
Skills: Psychiatric Evaluation, Medication Management, Detoxification Treatment, Patient Assessment, Clinical Documentation
Uwchlan Township, Pennsylvania, United States · On-site
Job DetailsLevel: ExperiencedJob Location: STR Chester County - Exton, PA 19341Position Type: ContractorEducation Level: Graduate DegreeJob Category: Health CareWho We Are To meet an ever-expanding need for mental health…
Skills: Psychiatric Evaluation, Medication Management, Clinical Documentation, Treatment Planning, Patient Assessment
Uwchlan Township, Pennsylvania, United States · On-site
Job DetailsLevel: ExperiencedJob Location: STR Chester County - Exton, PA 19341Position Type: Full TimeEducation Level: High SchoolJob Category: Health Care Who We Are To meet an ever-expanding need for mental health and…
Skills: Office Management, Scheduling, Client Care, Inventory Management, Microsoft Office
Mahanoy City, Pennsylvania, United States · On-site
Job DetailsLevel: EntryJob Location: Silver Pines Treatment Center - Mahanoy City, PA 17948Position Type: Full TimeEducation Level: High SchoolJob Category: Health Care Position Summary Behavioral Health Technicians (BHT…
Skills: Crisis Intervention, Patient Documentation, De-escalation Techniques, Behavioral Health Support, Client Supervision
Warwick Township, Pennsylvania, United States · On-site
Job DetailsLevel: EntryJob Location: STR Cedar Creek - Warminster, PA 18974Position Type: Part TimeEducation Level: High SchoolJob Category: Health CarePosition Summary Behavioral Health Technicians (BHT) interact with c…
Skills: Crisis Intervention, Behavioral Health Support, Patient Documentation, De-escalation Techniques, Client Supervision
Mahanoy City, Pennsylvania, United States · On-site
Job DetailsLevel: EntryJob Location: Silver Pines Treatment Center - Mahanoy City, PA 17948Position Type: Full TimeEducation Level: High SchoolJob Category: Health Careisjp123! Position Summary Culinary Assistant I will …
Skills: Food Preparation, Food Safety Standards, Kitchen Organization, Time Management, Communication
Warwick Township, Pennsylvania, United States · On-site
Job DetailsLevel: ExperiencedJob Location: STR Cedar Creek - Warminster, PA 18974Position Type: Per DiemEducation Level: Graduate DegreeJob Shift: DayJob Category: Health CareWho We Are STR Cedar Creek is a residential m…
Skills: Individual Therapy, Family Therapy, Group Therapy, Treatment Planning, Crisis Intervention
Warwick Township, Pennsylvania, United States · On-site
Job DetailsLevel: EntryJob Location: STR Cedar Creek - Warminster, PA 18974Position Type: Per DiemEducation Level: High SchoolJob Category: Health CarePosition Summary Behavioral Health Technicians (BHT) interact with cl…
Skills: Crisis Intervention, Patient Documentation, De-escalation Techniques, Behavioral Health Support, Patient Monitoring
Mahanoy City, Pennsylvania, United States · On-site
Job DetailsLevel: EntryJob Location: Silver Pines Treatment Center - Mahanoy City, PA 17948Position Type: Per DiemEducation Level: High SchoolJob Category: Health CarePosition Summary Behavioral Health Technicians (BHT) …
Skills: Crisis Intervention, Patient Monitoring, De-escalation Techniques, Clinical Documentation, Behavioral Health Support
Warwick Township, Pennsylvania, United States · On-site
Job DetailsLevel: EntryJob Location: STR Cedar Creek - Warminster, PA 18974Position Type: Per DiemEducation Level: High SchoolJob Category: Health CarePosition Summary Culinary Assistant I will be responsible for prepari…
Skills: Food Preparation, Food Safety Standards, Kitchen Organization, Temperature Logging, Client Service
Franklin, Tennessee, United States · On-site
$115k–$130k/yr
Job DetailsLevel: ExperiencedJob Location: Odyssey Behavioral Healthcare - Franklin, TN 37067Position Type: Full TimeEducation Level: 4 Year DegreeSalary Range: $115,000.00 - $130,000.00 Salary/yearJob Category: Business…
Skills: Business Development, Sales Management, Strategic Planning, Market Analysis, Salesforce CRM
Franklin, Tennessee, United States · On-site
Job DetailsLevel: ManagementJob Location: Odyssey Behavioral Healthcare - Franklin, TN 37067Position Type: Full TimeEducation Level: 4 Year DegreeJob Category: FinancePosition Summary The Division AVP of Revenue Cycle is…
Skills: Revenue Cycle Management, Financial Performance Driving, Process Improvement, Cross Departmental Leadership, KPI Implementation
Ohio, United States · Hybrid
Job DetailsLevel: ExperiencedJob Location: Mi/OH - OHPosition Type: Full TimeEducation Level: 4 Year DegreeJob Category: Business DevelopmentWho We Are: Join a passionate and caring team who work collaboratively to suppo…
Skills: Strategic Planning, Market Analysis, Business Development, Relationship Building, Sales Strategy
Franklin, Tennessee, United States • On-site
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Manages daily utilization review operations, ensuring accurate initial, concurrent, and retrospective reviews. Leads a team of coordinators while collaborating with leadership to optimize processes and prevent insurance denials.
Requires a bachelor's degree and at least three years of experience in pre-certification and concurrent reviews within mental health or substance abuse facilities. Must possess a comprehensive understanding of admission and continued stay review criteria.
Job DetailsLevel: ExperiencedJob Location: Odyssey Behavioral Healthcare - Franklin, TN 37067Position Type: Full TimeEducation Level: 4 Year DegreeJob Category: Admin - ClericalPosition Summary
The Manager of Utilization Review (UR) manages the daily operations of the UR practices for an assigned division. Leads This position ensures timely initial, concurrent, and retrospective reviews are conducted efficiently with a high degree of accuracy. The Manager of Utilization Review collaborates with leaders throughout the company to support denial prevention strategies, regulatory compliance and process optimization. This position serves as an internal subject matter expert and frontline people leader guiding and educating team members on UR functions, tracking and maintaining performance metrics, managing workflows and cross functional collaboration in support of organizational goals.
Within the organization: Maintains frequent and close working relationships with the Director of Utilization Review, Utilization Review Coordinators, Revenue Cycle team members, Admissions team members, Nursing leadership, milieu leadership, and all clinical team members.
Outside the organization: Initiates and maintains strong professional relationships with clients and families, insurance carrier contacts, referral partners and vendors, as needed.
Communicates professionally and effectively with multidisciplinary team members, insurance organizations and business offices, providing needed information in a logical, concise manner using technical language that accurately describes clients’ condition(s) and treatment needs.
Manages hiring and selection, onboarding training, regular coaching and supervision of Utilization Review Coordinators.
Provides fair and consistent leadership and communication with team members.
Promotes effective team dynamics within and between departments, facilitates team building and professional development for Utilization Review Coordinators.
Assists team members with challenging cases, removing barriers and increasing access to care.
Performs medical records reviews and ongoing training with clinical/medical team members within the assigned division.
Performs regular audits of Utilization Review Coordinator’s work to ensure quality and performance.
Maintains current knowledge of Utilization Review process and trends, including denials and concurrent reviews.
Revises processes in collaboration with the Director of Utilization Review to meet organizational goals, as needed.
Utilizes effective documentation standards that support a strong historical record of actions taken on each account.
Maintains a strict level of confidentiality for all client, company, departmental, and healthcare provider information.
Escalates challenges and/or roadblocks to Director of Utilization Review for resolution, as needed.
Maintains current knowledge of Utilization Review process, including denials and concurrent reviews.
Functions within the guidelines of the corporate Code of Ethics and in accordance with Corporate Compliance standards.
Reads, understands, adheres to, and models all company policy statements on ethics, conduct, and conflict of interests.
Attends and completes all training within assigned time frames.
Performs other duties as assigned.
Position requires a bachelor’s degree or equivalent in combined education and experience, and a minimum of three (3) years' experience with external review organizations or comparable entities doing pre-certification and concurrent reviews in mental health, substance abuse, and/or eating disorder facilities. Requires a comprehensive understanding of the admission, concurrent, continued stay, and retrospective reviews using established facility criteria.
While performing the duties of this job, the employee will be required to communicate with peers/public, clients and/or vendors.
Tolerant to various noise levels: noise level in the work environment varies – may be very quiet to moderate.
Job performance will require the ability to sit or remain stationary for extended periods of time.
While performing the duties of this job, the employee may be required to talk or hear, sit, and stand.
Clearance of pre-employment tests, and any other mandatory state/federal requirements.
Demonstrates a proficient knowledge of medical and behavioral health terminology, and techniques used to diagnose and treat various medical conditions; including practices, standards of care, symptoms, treatment alternatives, medications used for treatment, and preventative healthcare measures.
Demonstrated ability to successfully function under pressure in critical situations.
Demonstrated ability to effectively manage conflict and crisis situations.
Demonstrates strong problem solving and analytical skills.
Demonstrates the ability to consistently exercise sound judgment and a high level of discretion.
Demonstrates excellent organizational and time management skills.
Demonstrates a high level of collaborative skills working with a variety of groups.
Demonstrates excellent interpersonal and relationship building skills.
Demonstrates a high level of follow-through and attention to detail.
Demonstrates excellent verbal and written communication skills.
Consistently demonstrates and models alignment with company core values and mission.
Demonstrate proficiency with technology resources to include Microsoft Office programs.
Odyssey Behavioral Healthcare, LLC and its subsidiaries provide equal employment opportunities without regard to race, color, creed, ancestry, national origin, ethnicity, sex, gender, sexual orientation, marital status, religion, age, disability, gender identity, genetic information, service in the military, or any other characteristic protected under applicable federal, state, or local law. Equal employment opportunities apply to all terms and conditions of employment. Odyssey reserves the rights to modify, interpret, or apply this job description in any way the organization desires. This job description in no way implies that these are the only duties, including essential duties, to be performed by the employee occupying this position. Reasonable accommodations may be made to reasonably accommodate qualified individuals with disabilities. This job description is not an employment contract, implied or otherwise. The employment relationship remains “At-Will.”
Behavioral Health Treatment Centers
Odyssey Behavioral Healthcare delivers personalized, evidence-based treatment for adolescents and adults of all genders facing eating disorders, mental health disorders, and substance use disorders. Our comprehensive continuum of care includes residential, partial hospitalization, and intensive outpatient programs, designed to meet clients wherever they are on their recovery journey. Founded to bridge the critical gap between acute hospitalization and traditional outpatient care, Odyssey provides a seamless path toward lasting recovery. Each facility is thoughtfully designed to promote lasting recovery and social reintegration. From resort-style environments to home-like settings, our locations meet the highest safety standards and hold prestigious accreditations, including The Joint Commission and CARF® International, reflecting our commitment to clinical excellence and operational quality. Partnering with clinicians and professionals nationwide, Odyssey supports individuals and their loved ones through trusted, collaborative care. At Odyssey, we meet clients with empathy, expertise, and dedication to helping them reclaim their lives.
Offices: 720 Cool Springs Blvd, Franklin, Tennessee 37067, US
Behavioral Health Treatment Centers
Odyssey Behavioral Healthcare delivers personalized, evidence-based treatment for adolescents and adults of all genders facing eating disorders, mental health disorders, and substance use disorders. Our comprehensive continuum of care includes residential, partial hospitalization, and intensive outpatient programs, designed to meet clients wherever they are on their recovery journey. Founded to bridge the critical gap between acute hospitalization and traditional outpatient care, Odyssey provides a seamless path toward lasting recovery. Each facility is thoughtfully designed to promote lasting recovery and social reintegration. From resort-style environments to home-like settings, our locations meet the highest safety standards and hold prestigious accreditations, including The Joint Commission and CARF® International, reflecting our commitment to clinical excellence and operational quality. Partnering with clinicians and professionals nationwide, Odyssey supports individuals and their loved ones through trusted, collaborative care. At Odyssey, we meet clients with empathy, expertise, and dedication to helping them reclaim their lives.
Offices: 720 Cool Springs Blvd, Franklin, Tennessee 37067, US
