Utilization Management Director jobs in the United States

Utilization Management Director leads and directs the utilization review staff and function for a healthcare facility. Determines policies and procedures that incorporate best practices and ensure effective utilization reviews. Being a Utilization Management Director manages and monitors both concurrent reviews to ensure that the patient is getting the right care in a timely and cost-effective way and retrospective reviews after treatment has been completed. Provides analysis and reports of significant utilization trends, patterns, and impacts to resources. Additionally, Utilization Management Director consults with physicians and other professionals to develop improved utilization of effective and appropriate services. Requires a master's degree. Typically reports to top management. Typically requires Registered Nurse(RN). The Utilization Management Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. To be a Utilization Management Director typically requires 5+ years of managerial experience. (Copyright 2020 Salary.com)

utilization management supervisor
  • TotalMed Professional
  • Sacramento, CA
  • Will be directing daily work for the clinical team. Will also collaborate heavily with the non ... Supervise the daily operations of the utilization management (UM) department Education/Experience ...
  • 9 hours ago

Director Case Management (RN)
  • Plantation General Hospital
  • Fort Lauderdale, FL
  • No Weekends SCHEDULE: Full-time Registered Nurse Director Case Management (RN), Full-Time ... Coordination of the Utilization Management CommitteeMeetings and minutes. Preparation of ...
  • 12 hours ago

Director Emergency Management
  • JPS Health Network
  • Fort Worth, TX
  • The Director Emergency Management (EM) Director satisfies a Joint Commission required position ... Anticipates system needs, defines and coordinates utilization of Hospital Command Center (HCC
  • 13 hours ago

Utilization Management Supervisor - RN
  • A-Line Staffing Solutions
  • Sacramento, CA
  • ... UM Manager and Director with coordinating and facilitating system processes with providers ... Utilization Review, Utilization Management, Registered Nurse, Licensed Vocational Nurse, LPN, ...
  • 20 hours ago

RN-Case Manager
  • All Medical Personnel
  • Fresno, CA
  • Case Management or Utilization Review Certification - Highly Preferred * MediTech - Highly preferred Benefits * Day 1 Health benefits (Health/Vision/Dental) * Weekly Pay * Direct Deposit * Travel ...
  • 22 hours ago

RN Utilization Management Supervisor
  • Aerotek
  • Sacramento, CA
  • Supervise the daily operations of the utilization management (UM) department ... Will be directing daily work for the clinical team. * Will also collaborate heavily with the non ...
  • yesterday

RN Clinical Manager
  • Kindred at Home
  • Bellevue, WA
  • Works with Utilization Review staff relative to data tracking for performance review and outcomes ... Competently performs patient care assignments and staff management activities. * Provides direct ...
  • yesterday

Clinic RN - Pain Management
  • CHI Franciscan Medical Group
  • Gig Harbor, WA
  • An incumbent is engaged in direct care of clinic patients, including assessing, coordinating ... utilization of staff/resources. Work involves continuous contact with physicians/providers ...
  • 3 days ago

Income Estimation for Utilization Management Director jobs
$114,289 to $154,540

Career Path for Utilization Management Director