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 2021 Salary.com)

RN Patient Care Manager
  • LHC Group
  • 23806, VA
  • ... and utilization of services, equipment, and supplies through activities such as random patient ... Completes LHC required learning courses, additional assignments per Executive Director request, as ...
  • 1 hour ago

Nurse Manager (RN) - Labor and Delivery
  • Hyattsville, MD
  • Job Summary The Nurse Manager is responsible for directing, supervising and coordinating patient ... utilization of their time and abilities. * L&D experience strongly preferred * Nurse Management ...
  • 2 hours ago

Nurse Manager (RN) - Ambulatory
  • Baltimore, MD
  • ... resource utilization, etc. * Maintains records and provides reports to Director of Ambulatory ... management reporting requirements. * Monitors and assures monthly financial performance to budget ...
  • 2 hours ago

Registered Nurse (RN) Supervisor, Med Surg-CPCU
  • Community Medical Centers
  • Clovis, CA
  • This position supervises the team(s) providing direct care for patients. Management and leadership ... by effectively assisting in managing utilization, productivity, personnel and supplies
  • 12 hours ago

Registered Nurse (RN) Case Manager
  • JobGet
  • Stanford, CA
  • ... management Perform utilization review, including review of patient charts for timeliness of ... Medical, Dental & Vision Benefits 401K Retirement Saving Plan Life & Disability Insurance Direct ...
  • 2 days ago

Medical Director -Psychiatry- California
  • Magellan Health
  • San Diego, CA
  • Develops and implements a Utilization Management program and action plan, which includes strategies ... General Job Information Title Medical Director -Psychiatry- California Grade 34 Work Experience ...
  • 4 days ago

Utilization Management Nurse
  • Cambia Health Solutions
  • Burlington, WA
  • Utilization Management NurseRemote in WA, OR, UT or ID. Candidates outside of these states will not ... direct clinical care. Regence employees are part of the larger Cambia family of companies, which ...
  • 4 days ago

Assistant Nurse Manager- Orthopedics & MedSurg 1C & 2C
  • St. Joseph Health / Covenant Health
  • Santa Rosa, CA
  • ... utilization of services and resources, both human and material, within established budgetary ... manager and director. + Assists with development, review and revisions of department policies ...
  • 6 days ago

Income Estimation for Utilization Management Director jobs
$116,740 to $157,854

Career Path for Utilization Management Director