Back to jobs

Associate Director of Utilization Review

Remote

Weekly outpatient therapy isn't always enough, and a trip to the ER isn't the only answer. Patients and their families rely on Compass Health Center when in crisis – every day, we help people overcome depression, anxiety, suicidality, obsessions/compulsions, trauma, chronic pain, and other obstacles in order for our patients to live freely.

About This Role 

As the Associate Director of Utilization Review, you’ll play a key role in making sure our patients receive the best care possible while navigating the often complex world of insurance and authorizations. Leading a dynamic team of remote Utilization Review Specialists, you’ll collaborate closely with our clinical leadership to develop strategies that ensure seamless care and coverage. You’ll also drive the development of policies, procedures, and best practices, while making sure we stay ahead of ever-evolving payer requirements. Creating a culture that champions patient advocacy will be at the heart of everything you do, and you'll be the go-to person for fostering strong relationships with our payer partners. From tackling denials and appeals to optimizing utilization rates, you'll be at the helm of improving key performance indicators that directly impact our patients and the organization. If you’re passionate about both patient care and operational excellence, you’d be a great addition to our team!

What You’ll Do:

  • Manage and lead the Utilization Review staff 
  • Create a culture of patient advocacy
  • Develop, implement, and improve policies, procedures and standard work for utilization review functions
  • On daily basis, ensure all patients have appropriate documented insurance authorizations in place through staff completing pre-certifications, concurrent reviews, peer reviews and/or appeals
  • Coordinate patient/family communication when authorization status changes and/or coverage is in jeopardy
  • Ensure compliance with payor authorization procedures and requirements
  • Participate and lead, as necessary, case conferences to help treatment teams, clinical leadership, and patients navigate denials and/or lapses in authorization and/or benefit coverage
  • Develop clear communication channels with site leaders related to levels of care transitions, patient attendance, and documentation
  • Conduct regular audits and reviews to monitor the effectiveness of utilization management processes
  • Analyze date to identify trends and opportunities for improvement
  • Provide training and development opportunities for staff
  • Maintain up to date knowledge of payor specific standards, industry standards and best practices
  • Work closely with revenue cycle personnel to resolve billing/claims/payment issues involving authorizations
  • Facilitate opportunities for Compass clinical leaders and/or payor relations to meet with payors to provide information about our services and/or programming

Who You Are:

  • Strong knowledge of Microsoft Office products (Word, Excel, Access, PowerPoint, etc.) 
  • Strong interpersonal and leadership skills  
  • Strong verbal and written communication skills to lead a remote team working across the country
  • Highly organized, effective in time management, ability to manage multiple priorities, strong teamwork skills 
  • Strong knowledge of behavioral health medical necessity criteria and level of care guidelines
  • Minimum of five years’ experience in utilization review or case management within a behavioral health or substance abuse setting
  • Bachelor’s degree in behavioral health, healthcare administration, or a related field; advanced degree preferred
  • Minimum of 3 years management or leadership experience required

We are committed to a fair and equitable work environment. The expected compensation range for this role is below. This range includes multiple career path levels across the organization; where you fall in the range is dependent upon a number of factors including, but not limited to, your years of experience, type of experience, location, and education/certifications. Compass reserves the right to update these ranges.

Compensation

$75,000 - $85,000 USD

We know job descriptions can be intimidating, so if this sounds like an opportunity for you, please don't hesitate to apply! 

Who We Are 

Compass Health Center is a recognized leader in crisis-level mental health, bringing passion, connection, and patient-centered care to the Partial Hospitalization and Intensive Outpatient space (PHP/IOP). Based in Chicagoland, we serve hundreds of patients every day, ranging from ages 5 through adulthood, in our onsite facilities or through our flourishing virtual programming. Compass fills a critical gap between outpatient and inpatient care through an intermediate level of Behavioral Healthcare.  

A few more things we want you to know: our values are super important to us, and hopefully will be to you, too. Cultural humility, teamwork, continuous improvement, connection, patient centered care, passion, innovation, and agility should be your power sources. Joining Compass is an opportunity to feel fulfilled through a joint mission towards healing our communities. 

Benefits & Perks 

We know that you will be dedicated to your purpose here. We look at that investment as a two-way street. We are proud to offer plenty of space for growth, and opportunities to pursue continuous development within our organization. 

For eligible positions, our other benefits include: comprehensive medical/dental/vision plans, 401k program with company matching, generous PTO (including competitive parental leave after 1 year of employment), and continuous training through CEU seminars and volunteering opportunities.  

What’s Next? 

Compass is committed to cultivating diverse and dynamic teams who exude passion for their craft, so whether or not you check all the boxes, we encourage you to apply – we’d be grateful to hear from you! 

 

Create a Job Alert

Interested in building your career at Compass Health Center? Get future opportunities sent straight to your email.

Apply for this job

*

indicates a required field

Resume/CV*

Accepted file types: pdf, doc, docx, txt, rtf

Cover Letter

Accepted file types: pdf, doc, docx, txt, rtf

Select...
Due to ethical, legal, and clinical reasons to protect the confidentiality of our patients and to protect against any potential conflicts of interests, Compass Health Center is only able to hire former patients, or immediate family members of current/former patients under certain conditions. If you are a former Compass patient, we are only able to consider applicants who have received treatment at Compass at least 3 years ago and are applying to a different location from where they received care. Immediate family members of current or former patients may also apply to a different location than where their family member received care, regardless of the amount of time that has passed since their treatment.
Select...
Select...
Select...
Select...

Voluntary Self-Identification

For government reporting purposes, we ask candidates to respond to the below self-identification survey. Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiring process or thereafter. Any information that you do provide will be recorded and maintained in a confidential file.

As set forth in Compass Health Center’s Equal Employment Opportunity policy, we do not discriminate on the basis of any protected group status under any applicable law.

Select...
Select...
Race & Ethnicity Definitions

If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection. As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categories is as follows:

A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.

A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.

Select...

Voluntary Self-Identification of Disability

Form CC-305
Page 1 of 1
OMB Control Number 1250-0005
Expires 04/30/2026

Why are you being asked to complete this form?

We are a federal contractor or subcontractor. The law requires us to provide equal employment opportunity to qualified people with disabilities. We have a goal of having at least 7% of our workers as people with disabilities. The law says we must measure our progress towards this goal. To do this, we must ask applicants and employees if they have a disability or have ever had one. People can become disabled, so we need to ask this question at least every five years.

Completing this form is voluntary, and we hope that you will choose to do so. Your answer is confidential. No one who makes hiring decisions will see it. Your decision to complete the form and your answer will not harm you in any way. If you want to learn more about the law or this form, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.

How do you know if you have a disability?

A disability is a condition that substantially limits one or more of your “major life activities.” If you have or have ever had such a condition, you are a person with a disability. Disabilities include, but are not limited to:

  • Alcohol or other substance use disorder (not currently using drugs illegally)
  • Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, HIV/AIDS
  • Blind or low vision
  • Cancer (past or present)
  • Cardiovascular or heart disease
  • Celiac disease
  • Cerebral palsy
  • Deaf or serious difficulty hearing
  • Diabetes
  • Disfigurement, for example, disfigurement caused by burns, wounds, accidents, or congenital disorders
  • Epilepsy or other seizure disorder
  • Gastrointestinal disorders, for example, Crohn's Disease, irritable bowel syndrome
  • Intellectual or developmental disability
  • Mental health conditions, for example, depression, bipolar disorder, anxiety disorder, schizophrenia, PTSD
  • Missing limbs or partially missing limbs
  • Mobility impairment, benefiting from the use of a wheelchair, scooter, walker, leg brace(s) and/or other supports
  • Nervous system condition, for example, migraine headaches, Parkinson’s disease, multiple sclerosis (MS)
  • Neurodivergence, for example, attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder, dyslexia, dyspraxia, other learning disabilities
  • Partial or complete paralysis (any cause)
  • Pulmonary or respiratory conditions, for example, tuberculosis, asthma, emphysema
  • Short stature (dwarfism)
  • Traumatic brain injury
Select...

PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.