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)
An award-winning healthcare provider in central Connecticut is seeking an Interim Director Case Management.
This 600 bed non-profit acute care hospital is one of the largest teaching and Catholic hospitals in New England. They are known for their world-class providers and facilities that are dedicated to preventive, acute, and post-acute care. They have won an array of awards for safety and quality over the years including Grade A Leapfrog Hospital Safety, Best Regional Hospital by U.S. News & World Report, and more. Join an organization with an outstanding reputation in the community and across the nation.
The Interim Director Case Management will be responsible for the day to day operations and supervision of designated case management work staff. They will manage staff recruitment and training, implementation of department goals and activities, and serve as the central resource to the team. They will ensure all strategies are efficient, effective, timely, and support financial reimbursement. The Interim Director Case Management will work closely with managers to meet the organization's performance improvement goals and objectives.
The ideal Interim Director Case Management candidate will have their Master's Degree and years of acute care leadership experience. Candidates with their BSN, LCSW certification, and CCM certification are encouraged to apply.
The Interim Director Case Management will have the opportunity to work in one of the top cities in the U.S. that is highly ranked for quality of life. This area is rich in culture with museums, theaters, and historical sites. It is a prime location for easy travel to other major cities like New York City and Boston. This charming city is full of activities for everyone to enjoy at all times of year!
The Interim Director Case Management role is being offered a contract starting at 13 weeks, a competitive salary in addition to a generous full benefits package.
Don’t miss out this opportunity to take on an interim role with a fantastic health system!
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