Acadia Healthcare is a leading provider of behavioral healthcare services across the United States. Acadia operates a growing network of 250 plus behavioral healthcare facilities with approximately 11,100 beds in 39 states and Puerto Rico. With more than 23,000 employees serving approximately 75,000 patients daily, Acadia is the largest stand-alone behavioral health company in the U.S.

Acadia Healthcare’s purpose is to Lead Care with Light and our mission is to be a world-class organization that sets the standard for excellence in the treatment of mental health and addiction concerns. We strive to maintain our standing as a thought leader in the behavioral healthcare industry, providing treatment that is synonymous with compassion and innovation. 

We are looking for an onsite Director of Utilization Management in Greenville, NC. 

Acadia Healthcare and ECU Health Behavioral Health Hospital have partnered to establish a state-of-the-art, two-story, 144-bed behavioral health hospital in Greenville, NC. This new facility will help meet the urgent need for accessible, high-quality psychiatric care in the region, expanding capacity to support patients with diverse mental health needs. Set to open in Summer 2025, the hospital—located just under a mile from ECU Health Medical Center—will offer a full range of inpatient and intensive outpatient services. Additionally, it will host GME and residency programs in psychiatry and internal medicine for ECU Health’s Brody School of Medicine, advancing medical education and training in behavioral health. Adults, seniors, children, and adolescents facing acute mental health challenges, including anxiety, depression, bipolar disorder, PTSD, and co-occurring disorders, will have access to specialized treatment and support at this center of excellence.

What would you do in this role?

​Direct and manage the day-to-day operations of the Utilization Review department. 

​ESSENTIAL FUNCTIONS: 

• ​Monitor utilization of services and optimize reimbursement for the facility while maximizing use of the patient’s provider benefits for their needs.   
• ​Conducts and oversees concurrent and retrospective reviews for all patients.   
• ​Act as a liaison between Medicaid reviewers and the staff completing required paperwork to facilitate the Utilization Review process.   
• ​Collaborates with physicians, therapist and nursing staff to provide optimal review based on patient needs.   
• ​Collaborates with ancillary services in order to prevent delays in services.   

• ​Evaluates the UM program for compliance with regulations, policies and procedures. 
• ​May review charts and make necessary recommendations to the physicians, regarding utilization review and specific managed care issues.   
• ​Provide staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department operation. 

​OTHER FUNCTIONS:  

• ​Perform other functions and tasks as assigned. 

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: 

• ​Bachelor's Degree in nursing or other clinical field required. Master's Degree in clinical field preferred.  
• ​Six or more year's clinical experience with the population of the facility preferred. 
• ​Four or more years’ experience in utilization management required.    
• ​Three or more years of supervisory experience required. 

​LICENSES/DESIGNATIONS/CERTIFICATIONS:  

• ​If applicable, current licensure as an LPN or RN within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services. 

We are committed to providing equal  employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.