Utilization Management Director jobs in Bloomington, IN

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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Activity Director
  • Infinity Healthcare Management
  • Martinsville, IN FULL_TIME
  •  

    Now hiring - Activity Director

    ** New Wage Scale**

    ** Offering Daily Pay**

    A comprehensive benefit package includes:

    Excellent Pay

    Tuition Reimbursement

    Flexible Scheduling

    Paid Birthdays

    Paid Vacation Time-Cash Out Option

    Paid Sick Time

    Attendance Bonus

    Group Health Insurance

    Dental and Vision Insurance

    Life insurance plans

    Disability plans

    401K

    Duties and Responsibilities:  

    • Planning, organizing, developing and directing the overall operation of the Activity Department in accordance with current federal, state, and local standards, guidelines and regulations, our established policies and procedures, and as may be directed by the Administrator, to assure that an on-going program of activities is designed to meet, in accordance with the comprehensive assessment, the interests and the physical, mental and psychosocial well-being of each resident.
    • Facilitate group activities
    • Encourage activity involvement and chart attendance
    • Assist in keeping activity supplies clean and organized
    • Assist with 1 on 1 activities, transport residents to and from activities
    • Assist with outings and special events and other assigned duties
    • Collaborates with all disciplines to provide best patient centered treatment and care.
    • Compliance with confidentiality, HIPPA and Federal Residents Rights.

     Qualifications/Requirements: 

    • Bachelors Degree (preferred)
    • High School diploma or equivalent
    • 3 years experience in Activities Department in a Skilled Nursing Facility, 2 of which must have been as an Activity Director

    Our company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, our company complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. #123

     

     

     

     

     

     

     

  • 23 Days Ago

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UTILIZATION COORDINATOR
  • Universal Health Services, Inc.
  • Bloomington, IN FULL_TIME
  • Responsibilities The Utilization Management Specialist is responsible for executing the UM function, which includes the implementation of case management scenarios, consulting with all services to ens...
  • 26 Days Ago

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UTILIZATION COORDINATOR
  • UHS
  • BLOOMINGTON, IN FULL_TIME
  • Responsibilities The Utilization Management Specialist is responsible for executing the UM function, which includes the implementation of case management scenarios, consulting with all services to ens...
  • 1 Month Ago

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Regional Director of Nursing
  • Prime Healthcare Management Inc
  • Bloomington, IN FULL_TIME
  • Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providi...
  • Just Posted

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MGR - UTILIZATION REVIEW / MGMT
  • UHS
  • BLOOMINGTON, IN FULL_TIME
  • Responsibilities The Manager of Utilization Review is responsible for managing the Utilization department staff members, executing and managing the UR functions accurately and timely, included but not...
  • 2 Months Ago

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MGR - UTILIZATION REVIEW / MGMT
  • Universal Health Services, Inc.
  • Bloomington, IN FULL_TIME
  • Responsibilities The Manager of Utilization Review is responsible for managing the Utilization department staff members, executing and managing the UR functions accurately and timely, included but not...
  • 1 Month Ago

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0 Utilization Management Director jobs found in Bloomington, IN area

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Executive Director - Southeast IN (Bloomington)
  • American Red Cross
  • Bloomington, IN
  • Please use Google Chrome or Mozilla Firefox when accessing Candidate Home. By joining the American Red Cross you will to...
  • 3/29/2024 12:00:00 AM

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HR - Human Resources Generalist (0-5 years experience)
  • FPC - FORTUNE PERSONNEL CONSULTANTS (Orlando Office)
  • Plainfield, IN
  • HUMAN RESOURCES GENERALIST 0-5 years experience HR Management & Administration Manufacturing Plant Environment (Non-Unio...
  • 3/28/2024 12:00:00 AM

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Executive Director, Convergent Bioscience and Technology Institute
  • Indiana University
  • Bloomington, IN
  • Title Executive Director, Convergent Bioscience and Technology Institute Appointment Status Tenure Track Department IUPU...
  • 3/28/2024 12:00:00 AM

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Area Scouts | Sports - Regional Manager | Athlete Evaluator
  • Area Scouts
  • Bloomington, IN
  • Area Scouts | Sports - Regional Manager | Athlete Evaluator Sports Currently Covered: Baseball Basketball Football Softb...
  • 3/28/2024 12:00:00 AM

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Phlebotomy Tech I
  • Monroe Hospital
  • Bloomington, IN
  • Overview: At Monroe Hospital, our dedicated team of professionals is committed to our core values of quality, compassion...
  • 3/26/2024 12:00:00 AM

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General Manager
  • Wendy's
  • Bloomington, IN
  • Why Wendy's Want to make a difference? Want to be a leader? Wendy's is now hiring General Managers to lead our teams! We...
  • 3/25/2024 12:00:00 AM

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Operational Excellence Leader
  • Hidden
  • Bloomington, IN
  • Job Description Job Description Job Title: Site Dedicated Operational Excellence Leader Location: Bloomington, IN Field:...
  • 3/25/2024 12:00:00 AM

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Seasonal Barn Staff, Camp Gallahue
  • Girl Scouts of Central Indiana
  • Morgantown, IN
  • PURPOSE: To further the mission of the camp by providing supervision and ensuring a safe environment at the camp's horse...
  • 3/25/2024 12:00:00 AM

Bloomington is a city in and the county seat of Monroe County in the southern region of the U.S. state of Indiana. It is the seventh-largest city in Indiana and the fourth-largest outside the Indianapolis metropolitan area. According to the Monroe County History Center, Bloomington is known as the "Gateway to Scenic Southern Indiana." The city was established in 1818 by a group of settlers from Kentucky, Tennessee, the Carolinas, and Virginia who were so impressed with "a haven of blooms" that they called it Bloomington. The population was 80,405 at the 2010 census. The city's population was ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Management Director jobs
$116,331 to $157,300
Bloomington, Indiana 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