Director of Utilization Management & Payer Relations

Oceans Healthcare, L.L.C. in Louisiana seeks a Director of Utilization Management to supervise UM across inpatient, partial hospitalization, and outpatient programs.

Responsibilities include auditing medical records to ensure appropriate admissions and timely discharge planning, and coordinating with third-party payers with clinical staff for compliant care. The role emphasizes collaboration with medical teams, adherence to Joint Commission and state regulations, and driving performance