Utilization Management Director jobs in Hartford, CT

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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Interim Director Case Management
  • Clinical Management Consultants
  • Hartford, CT FULL_TIME
  • 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!

     

  • 17 Days Ago

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Hospital Director Case Management
  • Clinical Management Consultants
  • Manchester, CT FULL_TIME
  • An award-winning healthcare provider in central Connecticut is seeking an Hospital Director Case Management. This 600 bed non-profit acute care hospital is one of the largest teaching and Catholic hos...
  • 15 Days Ago

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(DON) Director of Nursing
  • Complete Care Management
  • Windsor, CT FULL_TIME
  • NOW HIRING (DON) DIRECTOR OF NURSING Share your #RN talent and join the #CompleteCare team! Complete Care at Kimberly Hall South is a pillar in the community of Windsor, CT. We approach every day with...
  • 18 Days Ago

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Assisted Living Director of Nursing
  • Clinical Management Consultants
  • Windsor, CT FULL_TIME
  • Picture this: An idyllic setting in Central Connecticut, where you’ll find an oasis of senior care that thrives on excellence, compassion, and innovation. This highly regarded Senior Living Facility b...
  • 4 Days Ago

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Revenue Cycle Director
  • Clinical Management Consultants
  • Hartford, CT FULL_TIME
  • An award-winning acute care hospital located in central Connecticut is now searching for an experienced Revenue Cycle Director to join their award-winning healthcare organization. This community-based...
  • 23 Days Ago

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Director, Business Operations & Project Management
  • Harman
  • Hartford, CT FULL_TIME
  • Description & Requirements About the RoleThe Director, of Business Operations & Project Management will set and drive key business initiatives across the division. As a project manager and strategic a...
  • 6 Days Ago

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0 Utilization Management Director jobs found in Hartford, CT area

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Buisness Developement Manager
  • Cayuse Holdings
  • Hartford, CT
  • **Overview** The Environmental Business Development Manager will work with the Company Managing Director to develop and ...
  • 4/25/2024 12:00:00 AM

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Managing Director, Solutions Architecture
  • Webster Bank
  • Southington, CT
  • If you’re looking for a meaningful career, you’ll find it here at Webster. Founded in 1935, our focus has always been to...
  • 4/24/2024 12:00:00 AM

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Managing Director, IT Product Owner
  • Webster Bank
  • Southington, CT
  • Managing Director, IT Product Owner – Corporate Systems, Human Resources, Corporate Responsibility The Product Owner is ...
  • 4/24/2024 12:00:00 AM

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Senior Assurance Manager/Director (Financial Institutions)
  • Whittlesey
  • Hartford, CT
  • Job Description Job Description When you work at Whittlesey, you join a diverse team who provide today’s business leader...
  • 4/24/2024 12:00:00 AM

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Senior Assurance Manager/Director (Financial Institutions)
  • Whittlesey
  • Holyoke, MA
  • Job Description Job Description When you work at Whittlesey, you join a diverse team who provide today’s business leader...
  • 4/24/2024 12:00:00 AM

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Senior Assurance Manager/Director (Financial Institutions)
  • Whittlesey
  • Hamden, CT
  • Job Description Job Description When you work at Whittlesey, you join a diverse team who provide today’s business leader...
  • 4/24/2024 12:00:00 AM

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Architecture Project Manager/Senior Project Manager
  • Numunu Staffing Llc
  • Hartford, CT
  • Job SummaryThe Project Manager is responsible for the day to day management and delivery of assigned projects with speci...
  • 4/24/2024 12:00:00 AM

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Senior Audit Associate
  • Fiondella Milone & Lasaracina
  • Glastonbury, CT
  • Job Description Job Description Job Description – Fiondella, Milone & LaSaracina LLP (FML) Job Title Sr. Audit Associate...
  • 4/22/2024 12:00:00 AM

Hartford is the capital city of Connecticut. It was the seat of Hartford County until Connecticut disbanded county government in 1960. The city is nicknamed the "Insurance Capital of the World", as it hosts many insurance company headquarters and is the region's major industry. It is the core city in the Greater Hartford area of Connecticut. Census estimates since the 2010 United States Census have indicated that Hartford is the fourth-largest city in Connecticut, behind the coastal cities of Bridgeport, New Haven, and Stamford. Hartford was founded in 1635 and is among the oldest cities in th...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Management Director jobs
$136,055 to $183,975
Hartford, Connecticut area prices
were up 1.7% 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