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)

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Registered Nurse Case Manager - RN - Hospital
  • CareerStaff Unlimited
  • Oakland, CA
  • Weekly & Daily Pay with Direct Deposit * Medical, Dental and Vision Insurance * Referral Bonuses ... Assure payments of hospital-based services meet patient-related utilization of management criteria
  • 3 days ago

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Travel Nurse - RN - Case Manager
  • BluePipes
  • Albuquerque, NM
  • Weekly pay and direct deposit * Full coverage of all credentialing fees * Private housing or ... Case Management, Utilization Review, Case Manager RN nursingcandidates@medprostaffing.com About ...
  • 4 days ago

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Maintenance Manager/Director
  • Rack & Riddle
  • Sonoma County, CA
  • ... Director position. The responsibilities will include, but are not limited to ... management of all shop staff, ensuring efficient utilization of all winery equipment, and ...
  • 5 days ago

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Assistant Nurse Manager RN
  • The CSI Companies
  • Oakland, CA
  • ... utilization standards. Supervises the day to day shift activities. QUALIFICATIONS: Basic ... Current/recent management experience as Lead, Supervisor or Charge (if Charge, with direct reports
  • 5 days ago

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RN Cath Lab
  • CommonSpirit - Highline Medical Center
  • Burien, WA
  • ... efficient utilization of staff/resources. Work involves continuous contact with physicians ... direct care, provide education, seek resources at the unit/department level, and delegate ...
  • 5 days ago

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RN Med/Surg
  • CommonSpirit - Harrison Medical Center
  • Bainbridge Island, WA
  • An incumbent is engaged in direct patient care, including assessing, planning, coordinating ... efficient utilization of staff/resources. Work involves continuous contact with physicians ...
  • 6 days ago

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RN 4 South Ortho
  • CommonSpirit - ST JOSEPH MEDICAL CENTER
  • Tacoma, WA
  • An incumbent is engaged in direct patient care, including assessing, planning, coordinating ... efficient utilization of staff/resources. Work involves continuous contact with physicians ...
  • 7 days ago

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Medical Direction, Medical Director, Behavioral Health
  • MVP Health Care
  • Tarrytown, NY
  • Yes Provides clinical expertise and timely first and second level clinical utilization management ... Previous experience as a medical director in a managed care/health plan is desirable but not ...
  • 7 days ago

Income Estimation for Utilization Management Director jobs
$113,603 to $153,613

Career Path for Utilization Management Director