Utilization Management Director jobs in Benton Harbor, MI

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 2024 Salary.com)

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Director of Marketing
  • Ciena Healthcare Management
  • Joseph, MI FULL_TIME
  • Do you have a background in healthcare sales and marketing? If you enjoy working with seniors and their families to secure the best care for a post-acute stay, consider the role of Director of Marketing at Royalton Manor!

    The Director of Marketing manages the facility’s census by developing and maintaining positive relationships with hospitals, physician groups, community organizations and insurers.

    At Ciena Healthcare, we take care of you too, with an attractive benefit package including:

    • Competitive pay,

    • Life Insurance,

    • 401K with matching funds,

    • Health insurance,

    • AFLAC.  

    • Employee discounts

    • Tuition Reimbursement

    • SPOTLIGHT, our virtual community and rewards and recognitions program, exclusively for Ciena staff members

     

    In addition, we will help you advance your career with tuition reimbursement, discounts and other support.

     

    You will join an experienced, hard-working team that values communication and strong teamwork abilities.

    Responsibilities

    Act as a liaison between the facility and the outside community.

    Connect daily with potential referral sources including hospitals, physicians, insurers, case management companies and health care agencies.

    Create and execute facility sales and marketing plans and strategies.

    Conduct facility tours for potential guests and families.

    Conduct admission screenings of potential guests; determine level of care, services required, equipment needs and insurance coverage as needed.

    Welcome guest and family upon admission.

    Qualifications

    Bachelor’s degree

    Experience in healthcare sales, marketing, insurance or commensurate education preferred.

    Experience in managed care or insurance preferred.

    Covid 19 vaccination or acceptable exemption required.

    About Ciena Healthcare

    Ciena Healthcare is Michigan’s largest provider of skilled nursing and rehabilitation care services.

     We serve our residents with compassion, concern, and excellence, believing that every one of them is a unique person who deserves our best each day that we care for them.  If you have a passion for improving the lives of those around you and working with others who feel the same way, Ciena is the place for you!



     

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Admissions Director
  • Ciena Healthcare Management
  • Joseph, MI FULL_TIME
  • Do you have a background in healthcare sales and marketing? If you enjoy working with seniors and their families to secure the best care for a post-acute stay, consider the role of Admissions Coordina...
  • 1 Day Ago

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Director of Nursing (DON)
  • Ciena Healthcare Management
  • Joseph, MI FULL_TIME
  • $20,000 Sign-On Bonus Are you looking for a nursing leadership opportunity with a growing organization? As the Royalton Manor (St. Joseph, MI) Director of Nursing (DON) you will plan, coordinate and m...
  • 20 Days Ago

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Eagle - Director of Project Management Office
  • Eagle Technologies
  • Bridgman, MI FULL_TIME
  • Director, Project Management Office Bridgman, MI This position is a recognized expert in Project Management. The selected candidate will have 10 years in an engineering and manufacturing environment, ...
  • 18 Days Ago

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Management Internship
  • Menard, Inc Career Center
  • SOUTH HAVEN, MI PART_TIME
  • Part-Time Make BIG Money at Menards! Extra $3 per hour on Weekends Store Discount Profit Sharing Exclusive Discounts for gyms, car dealerships, cell phone plans, and more! Flexible Scheduling Dental P...
  • 3 Days Ago

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Restaurant Management
  • Arbys
  • South Haven, MI FULL_TIME
  • RESTAURANT MANAGEMENT OPPORTUNITIES We’re glad you’re here. You may know us as the brand with Roast Beef and Curly Fries – but we are also crafting incredible career opportunities. As a growing compan...
  • 4 Days Ago

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0 Utilization Management Director jobs found in Benton Harbor, MI area

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Cashier
  • Familyfarmandhome
  • Benton Harbor, MI
  • **Cashier** 1391 Cinema Way, Benton Harbor, MI 49022, USA Req #5169 Monday, January 31, 2022 We are proud to announce th...
  • 4/16/2024 12:00:00 AM

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Licensed Practical NurseLPN Private Duty Part Time Days
  • Elara Caring
  • Mishawaka, IN
  • At Elara Caring, we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here, e...
  • 4/15/2024 12:00:00 AM

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Sr. Director, Technical Program Management - Card Modernization
  • Capital One
  • South Bend, IN
  • Center 1 (19052), United States of America, McLean, Virginia Sr. Director, Technical Program Management - Card Moderniza...
  • 4/15/2024 12:00:00 AM

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Director, Technical Program Management (Bank Tech)
  • Capital One
  • South Bend, IN
  • Locations: VA - Richmond, United States of America, Richmond, Virginia Director, Technical Program Management (Bank Tech...
  • 4/15/2024 12:00:00 AM

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Director, Technical Program Management - Card Data Tech
  • Capital One
  • South Bend, IN
  • Center 1 (19052), United States of America, McLean, Virginia Director, Technical Program Management - Card Data Tech Abo...
  • 4/15/2024 12:00:00 AM

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Licensed Practical Nurse LPN Private Duty PRN
  • Elara Caring
  • Elkhart, IN
  • At Elara Caring, we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here, e...
  • 4/13/2024 12:00:00 AM

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Environmental, Health, and Safety Manager
  • Bonnell Aluminum
  • Niles, MI
  • We are seeking an experienced and dedicated EHS Manager to lead our efforts in maintaining the highest stands of environ...
  • 4/12/2024 12:00:00 AM

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Licensed Practical NurseLPN Private Duty Part Time Days
  • Elara Caring
  • Elkhart, IN
  • At Elara Caring, we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here, e...
  • 4/12/2024 12:00:00 AM

Benton Harbor is a city in Berrien County in the U.S. state of Michigan which is located southwest of Kalamazoo, and northwest of South Bend, Indiana. In 2010, the population was 10,038 according to the census. It is the smaller, by population, of the two principal cities in the Niles–Benton Harbor Metropolitan Statistical Area, an area with 156,813 people. Benton Harbor and the city of St. Joseph are separated by the St. Joseph River and are known locally as the "Twin Cities".[not in citation given] Fairplain and Benton Heights are unincorporated areas adjacent to Benton Harbor. According to...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Management Director jobs
$122,387 to $165,492
Benton Harbor, Michigan area prices
were up 1.3% from a year ago

Utilization Management Director in Johnstown, PA
Prior authorization decisions are also made using Medical Management and Behavioral Health Care Management internally derived policies and procedures developed using evidence-based guidelines based on national, state and locally established standards of practice.
March 01, 2020
Utilization Management Director in Carson City, NV
The utilization management coordinator must have strong project management skills to implement various programs within the allocated budget and set time limits.
January 31, 2020
Utilization Management Director in Melbourne, FL
Develops and administers polices and procedures for utilization control of inpatient and outside referral services countywide and for in a variety of categorical programs including the Medically Indigent Adult (MIA) Program.
January 08, 2020