Director of Utilization Review at Bradford Health Services optimizing resource use and ensuring compliance in healthcare delivery. Leading multidisciplinary teams and driving improvement initiatives in utilization management.
About the role
- Assistant Director of Admissions leading the admissions process at The Dorm, a mental health organization. Ensuring timely client intake and providing support to families and clients throughout the process.
Responsibilities
- Lead the Washington, DC admissions process to ensure census and enrollment goals are achieved, including: Responding promptly and professionally to initial inquiries, serving as a key point of contact for prospective clients and families
- Facilitating discovery conversations that introduce and clearly communicate The Dorm’s mission, services, and approach
- Coordinating and conducting meet-and-greet sessions and tours, guiding clients and families through the admissions experience with care and clarity
- Partnering with families and internal teams to ensure admissions decisions are timely, appropriate, and aligned with clinical and organizational standards
- Serve as the primary liaison for clients and families guiding them through discovery of The Dorm and providing support until successful enrollment and transition
- Oversee insurance compliance and operational processes for all admitted clients, ensuring accuracy, timeliness, and adherence to regulatory standards, including: Performing Verification of Benefits (VOBs) to confirm eligibility and coverage prior to admission
- Coordinating with insurance advocates to secure pre-certifications within required timeframes for the authorized Length of Care (LOC)
- Administering psychosocial assessments and establishing treatment schedules in accordance with clinical guidelines
- Collaborate with clinical team regularly for assessments, placements and on-boarding of new clients and families to determine appropriateness and level of care
- Ensure proper documentation and recording of admissions and outreach activity including management of reports and sheets to support outreach strategy and tracking of goals: Maintain accurate and timely clinical and demographic information in CRM
- Facilitate completion of admission documents
- Provide monthly reports on admission activity
- Ensure CRM is updated, maintained and strategically utilized
- Establish and maintain relationships with all referral channels including but not limited to educational consultants, hospitals, residential treatment centers, universities, clinical professionals & community organizations
- Collaborate with research, outreach, and marketing team members on developing relationships with referring professionals to grow The Dorm’s network by: Establishing new partnerships Focusing strategy on new referring professionals and new outgoing referral recommendations Assisting with the maintenance of referrals by cultivating and deepening existing relationships
- Participating in the planning of key outreach initiatives
Requirements
- DC State Licensure, or other relevant locality, in social work or counseling required
- 3–5 years of experience as a behavioral health clinician and/or admissions, intake coordination, client services, or related function within a behavioral health, mental health, or healthcare setting.
- Experience with community outreach, referral partner engagement, and relationship-building with external stakeholders
- Astute clinical and diagnostic skills
- Must operate at the highest level of customer service and possess the confidence and clinical expertise to assist families as they navigate the choice of enrolling
- Proven ability to communicate effectively across audiences and apply strong clinical judgment orally and in writing
- Detail-oriented, self-motivated and persuasive
- Ability to be on-site in the DC location 5 days per week.
- Availability to meet admission responsibilities including night and weekend phone coverage on a rotating schedule
- Ability to travel to various locations with flexible hours meet the needs of clients, families, and the position
- Flexibility in working hours to support program/team needs including weekend rotation of admissions calls. Involves some travel to multiple locations and various outreach/marketing events
Benefits
- Full benefits including comprehensive medical, dental, vision and a 401K with up to 3% company match, fully vested after 3 years
- Flexible PTO - for a team that’s rested, recharged and feeling their best
- Free in-house clinical trainings , DEIB trainings and yearly spending allowance for continuing education credits (CEUs)
- Flexible, creative, team-based work environment in the heart of Washington, DC and in an inspiring, centrally-located therapeutic setting
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