Utilization Management Director jobs in Monroe, LA
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
- Freedom Behavioral Hospital of Monroe
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Monroe, LA
FULL_TIME
-
* This Position is currently filled.
Freedom Behavioral Hospital of Monroe has an immediate opening for a Utilization Review representative. At Freedom, we put patient care first in all we do, and our people make that possible. We know that your best work happens when you live your best life and share your unique talents. If fulfilling your career potential in an environment where you know you have made a difference in the lives of others sounds appealing, this is the job for you.
The Utilization Review representative provides appropriate care and assesses and interprets data based on the patient's status and the age specific needs of the individual. Analyzes patient records to determine legitimacy of admission, treatment, and length of stay to comply with governmental and insurance company requirements. This position is responsible for review of precertification requests for medical necessity, referring to the medical director those that require additional expertise. The Utilization Review representative will review clinical information for concurrent reviews, extending the length of stay for patients as appropriate and provide appropriate consultation and referral to Case Management/Social Services personnel.
PREFERRED KNOWLEDGE, SKILLS, AND/OR EXPERIENCE REQUIRED:
Education: A psychology major is preferred or nursing education
License: Nursing License, Social Worker License or
Experience: 1 years coordinating utilization review and discharge planning activities
Gerneral Requirements
Effective verbal communication skills
Effective organizational skills
Effective interpersonal skills
Analytical problem solving skills
Ability to read and comprehend written instructions; ability to follow verbal instructions
Proficient knowledge of PC computers
Basic understanding of DSM V diagnostic criteria
Basic understanding of medical and psychiatric diagnoses and conditions****All Applicants selected for employment will be required to undergo a post-offer drug test and federal background investigation.
- 1 Month Ago
- InterMountain Management
-
Monroe, LA
FULL_TIME
- Overview SUMMARY: Manages the overall operation of a portfolio of hotels by maintaining established costs and quality standards, maximizing profits, developing and retaining associates and exceeding g...
- 7 Days Ago
- PRIORITY MANAGEMENT
-
RUSTON, LA
OTHER
- Job Details Job Location: Alpine Skilled Nursing and Rehabilitation - RUSTON, LA Salary Range: Undisclosed ASSISTANT DIRECTOR OF NURSING LPNJOB QUALIFICATIONS
- 1 Month Ago
- Clinical Management Consultants
-
Ruston, LA
FULL_TIME
- A unique opportunity is immediately available for the Cardiac Cath Lab RN Director in Northern Louisiana! This reputable health system is actively seeking a strong cath lab nurse leader to join its ti...
- 5 Days Ago
- Clinical Management Consultants
-
Ruston, LA
FULL_TIME
- A unique opportunity is immediately available for the Cardiac Cath Lab RN Director in Northern Louisiana! This reputable health system is actively seeking a strong cath lab nurse leader to join its ti...
- 28 Days Ago
- Rayville Recovery
-
Rayville, LA
FULL_TIME
- Our agency is looking for an experienced and reliable Utilization Review Director to work in our UR Department. LPN preferred and/or UR experience required. The ideal candidate would exhibit a strong ...
- 30 Days Ago
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0 Utilization Management Director jobs found in Monroe, LA area
- IASIS Healthcare
-
West Monroe, LA
- Hospital PresidentClick Here to Apply OnlineJob DescriptionLocation: Glenwood Regional Medical CenterPosted Date: 10/5/2...
- 4/18/2024 12:00:00 AM
- Academy Sports + Outdoors
-
West Monroe, LA
- Come work at a place where we take pride in creating a workplace environment that values hard work, commitment, and grow...
- 4/18/2024 12:00:00 AM
- Hiring Now!
-
Monroe, LA
- Overview: Explore ATI (Passport and Launch) are travel programs for physical therapists that offers short term and long ...
- 4/17/2024 12:00:00 AM
- Ati Physical Therapy
-
Monroe, LA
- Overview: Explore ATI (Passport and Launch) are travel programs for physical therapists that offers short term and long ...
- 4/17/2024 12:00:00 AM
- Hiring Now!
-
Monroe, LA
- Overview: Explore ATI (Passport and Launch) are travel programs for physical therapists that offers short term and long ...
- 4/17/2024 12:00:00 AM
- Familyfarmandhome
-
Monroe, LA
- **Cashier** 205 N Telegraph Rd, Monroe, MI 48162, USA Req #5369 Monday, February 28, 2022 We are proud to announce that ...
- 4/16/2024 12:00:00 AM
- McAlister's Deli
-
Ruston, LA
- Key Contribution: The General Manager contributes to the success of McAlister's through the direction and control of res...
- 4/16/2024 12:00:00 AM
- Learfield Communications Inc
-
Ruston, LA
- **General Manager LA Tech Sports Properties** **Location:** Ruston, LA 71270 **Department:** Sales/Business Development ...
- 4/16/2024 12:00:00 AM
About Monroe, Louisiana
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