Odyssey Behavioral Healthcare

Admissions Coordinator

• Handles inquiries appropriately and effectively, communicating knowledge of all programs, prices, level of care, and admission protocols.
• Presents overall key program talking points, features, and benefits, for designated Outpatient locations.
• Utilizes appropriate bonding techniques to establish rapport, build relationships, and enhance customer service and support.
• Communicates with referents, clients, and families appropriately and effectively.
• Uses the referral process to build relationships with new referents and engages in collaboration with referents.
• Assesses all for potential admissions and makes LOC determinations based on treatment needs and refers to the appropriate level of care.
• Completes all required paperwork to facilitate a smooth admission process into all levels of care.
• Plans and coordinates all admissions and acts as the “concierge” to ensure that the admissions process proceeds smoothly.
• Communicates clinical and treatment needs of potential admissions to the clinical team.
• Follows up on all open referral calls/cases with the potential resident, family, referent, and/or marketing team member until the case is closed or admitted.
• Facilitates communication with designated Outpatient Office Coordinator and/or Outpatient Executive Director as needed for each admission.
• Ensures follow-up with referral sources following admissions, discharges, and during the treatment process.
• Ability to work remotely, making full use of software platforms to effectively communicate with onsite teams.

Vice President

• Provides executive oversight and strategic direction for all enterprise Utilization Review operations across multiple facilities, service lines, and states.
• Develops and implements standardized enterprise-wide UR processes, workflows, policies, and documentation standards to improve operational consistency and payer outcomes.
• Oversees authorization management, concurrent review processes, denial prevention strategies, appeals management, retrospective reviews, and payer escalation processes.
• Partners with Clinical, Nursing, Admissions, and Revenue Cycle teams to ensure documentation supports medical necessity, level of care determinations, and reimbursement optimization.
• Develops enterprise KPI dashboards and reporting structures related to denials, overturn rates, authorization timeliness, payer trends, reimbursement performance, length of stay management, and utilization efficiency.
• Identifies trends, gaps, and opportunities within utilization management processes and leads performance improvement initiatives to enhance operational and financial outcomes.
• Collaborates with executive leadership regarding payer contracting strategy, authorization challenges, network access issues, and value-based care initiatives.
• Serves as an organizational expert regarding payer requirements, medical necessity criteria, utilization management regulations, and behavioral health reimbursement practices.
• Oversees recruitment, onboarding, training, mentorship, performance management, and leadership development for enterprise UR leadership and staff.
• Conducts regular audits and quality reviews to ensure compliance with regulatory requirements, payer expectations, and organizational standards.
• Leads enterprise education initiatives related to documentation integrity, medical necessity standards, payer trends, and authorization best practices.
• Collaborates with Information Technology and EHR leadership to optimize utilization review workflows, reporting capabilities, automation opportunities, and data integrity.
• Supports organizational growth initiatives, acquisitions, new program development, and expansion strategies through scalable utilization management processes.
• Participates in executive meetings, operational reviews, and strategic planning initiatives as a key organizational leader.
• Maintains strict confidentiality of all company, departmental, patient, payer, and healthcare provider information.
• Reports enterprise risks, payer concerns, and operational barriers to executive leadership with recommendations for resolution and mitigation.

Admissions Coordinator

VP of Utilization Review