Utilization Management Director jobs in Fresno, CA
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)
Recently Added Utilization Management Director jobs
- Clinical Management Consultants
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Tulare, CA
FULL_TIME
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Are you an experienced Registered Nurse looking for the next step up in your nurse leadership career? We have an exciting opportunity to join an award-winning medical center as a Lead Utilization Review Coordinator.
The Lead Utilization Review Coordinator will join a Central Valley area, award-winning community medical center. This 150 bed medical center is a Level 2 trauma center and has achieved the Joint Commission Gold Seal of Approval.
Reporting to the Administrative Director of Revenue, the Lead Utilization Review Coordinator will collaborate with hospital leadership and other Registered Nurse Case Managers in order to effectively manage hospital wide care coordination and will monitor extended hospital admissions. The Lead Utilization Review Coordinator should have over 4 years of experience working as a Case Manager in an inpatient setting as well as 4 years of experience working as a Registered Nurse. The Lead Utilization Review Coordinator will act as an advocate for their patients and go above and beyond to help accurately assess their individual needs.
Joining this fantastic Medical Center, and serving as the Lead Utilization Review Coordinator will be a great next step in your career. This area is located near the based of the Sierra Nevada mountains and is known for being a laid back, family friendly community. Candidates can also enjoy a health work life balance taking day trips to the beautiful Yosemite or Sequoia National Park.
The Lead Utilization Review Coordinator is expected to include competitive compensation and an excellent benefits package. These benefits may also include incentive bonus potential and relocation assistance. Don’t miss your chance to join this team in the sunny state of California. This will be a full time, onsite position.
- 12 Days Ago
- Clinical Management Consultants
-
Tulare, CA
FULL_TIME
- Are you an experienced Registered Nurse looking for the next step up in your nurse leadership career? We have an exciting opportunity to join an award-winning medical center as a Lead Utilization Revi...
- 12 Days Ago
- Executive Director
-
Madera, CA
FULL_TIME
- The Executive Director (Director) is the chief executive officer of the Madera County Economic Development Commission (MCEDC), a joint powers agency comprised of the County of Madera, the City of Made...
- 26 Days Ago
- Reliant Management
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Fresno, CA
FULL_TIME
- DSD Director of Staff Development What We’re Looking For: We are seeking to hire a self-motivated, efficient, responsible Licensed Vocational Nurse, to serve as Director of Staff Development and succe...
- 12 Days Ago
- Reliant Management
-
Fresno, CA
FULL_TIME
- DSD Director of Staff Development What We’re Looking For: We are seeking to hire a self-motivated, efficient, responsible Licensed Vocational Nurse, to serve as Director of Staff Development and succe...
- 12 Days Ago
- Clinical Management Consultants
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Corcoran, CA
FULL_TIME
- An exciting opportunity has just been announced that a Medical Center is looking for a Director of Nursing to continue providing dedicated care to their Skilled Nursing and Long Term Care patients. As...
- 2 Days Ago
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0 Utilization Management Director jobs found in Fresno, CA area
- Renewable Solar
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Hanford, CA
- Renewable Solar Inc is a rapidly growing Solar PV Engineering, Construction and Procurement (ECP) company, currently man...
- 4/22/2024 12:00:00 AM
- Medasource
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Fresno, CA
- Job Title: Utilization Management Manager Location: Fresno, California (travel reimbursement if needed) Start Date: ASAP...
- 4/21/2024 12:00:00 AM
- Medasource
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Fresno, CA
- Job Title: Interim Case Management Manager Client: Large Healthcare Provider Location: Fresno, California Start Date: AS...
- 4/21/2024 12:00:00 AM
- Moonlight Companies
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Reedley, CA
- Job Title: Tagging Clerk Non-Supervisory Position Reports To: Packing Manager, Director of Operations Hours/week: Varies...
- 4/21/2024 12:00:00 AM
- Community Health System - CA
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Fresno, CA
- Overview: *All positions are located in Fresno/Clovis CA* Opportunities for you! Join a Forbes Top 10 CA Employer! Tuiti...
- 4/20/2024 12:00:00 AM
- Renewable Solar
-
Hanford, CA
- Renewable Solar Inc is a rapidly growing Solar PV Engineering, Construction and Procurement (ECP) company, currently man...
- 4/19/2024 12:00:00 AM
- Adventist Health NW
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Selma, CA
- Located in a tight-knit community in Kings County, Adventist Health Hanford has been serving the Central Valley since 19...
- 4/19/2024 12:00:00 AM
- Kaweah Health Care District
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Visalia, CA
- Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the ...
- 4/19/2024 12:00:00 AM
About Fresno, California
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