Utilization Management Director jobs in Phoenix, AZ
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
Hospital Utilization Management Coordinator (UMC)
- Quail Run Behavioral Health
-
Phoenix, AZ
FULL_TIME
-
Responsibilities:Quail Run Behavioral Health – Phoenix, AZ – Now Hiring!
Quail Run Behavioral Health Hospital Phoenix is seeking a dynamic and talented Utilization Management Coordinator to join our team of compassionate, dedicated professionals.
The UM Coordinator contacts external case managers/managed care organizations for certification and recertification of insurance benefits throughout the patient’s stay, and assists the treatment team in understanding the insurance company’s requirements for continued stay and discharge planning. The UM Coordinator is responsible for having a thorough understanding of the patient’s treatment through communication with the treatment team. The UM Coordinator advocates for the patient’s access to services during treatment team meetings and through individual physician contact
Benefit Highlights:- Challenging and rewarding work environment
- Competitive Compensation and Generous Paid Time Off
- Excellent Medical, Dental, Vision and Prescription Drug Plans
- 401(K) with company match and discounted stock plan
- Career development opportunities within UHS and its 300 Subsidiaries!
- Tuition savings to continue your education with Chamberlain University
- May be required to work overtime and flexible hours
Location: 2545 W Quail Ave, Phoenix, AZ 85027Schedule: This is a Full Time Role - 6:45am - 5:30pm Monday to Friday - NO WEEKENDS / DAY SHIFTWebsite: https://quailrunbehavioral.com/Qualifications:
Duties and Responsibilities:- Review the treatment plan and advocate for additional services as indicated
- Ensure that patient rights are upheld.
- Maintain ongoing contact with the physician, program manager, nurse manager, and various members of the team.
- Collaborate with the treatment team regarding continued stay and discharge planning issues
- Communicate insurance requirements to all levels of staff
Education:- High School Diploma or GED
- Experience in a healthcare or managed care setting
- Experience in a Hospital setting
- Computer savvy
- Attention to detail
- Current AZ DPS Level One Fingerprint Card within 30 days of employment
A hospital is only as good as its employees. That's why we're looking for professionals who are dedicated and passionate about their work. We're looking for employees who can add to our culture of exemplary patient care and personal excellence. We're looking for exceptional professionals who share our vision and values.
Quail Run Hospital is a 102-bed, acute care psychiatric hospital located in Phoenix, Arizona. Quail Run features individual units for adolescents, adults, and seniors, and offers inpatient acute care, partial hospitalization, and intensive outpatient programs. On average, over 10,000 patients receive care from our compassionate health care team each year at Quail Run.
About Universal Health ServicesOne of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $13.4 billion in 2022. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 94,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. states, Washington, D.C., Puerto Ricco and the United Kingdom.www.uhs.com
EEO StatementAll UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.We believe that diversity and inclusion among our teammates is critical to our success.
NoticeAt UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at:https://uhs.alertline.com or 1-800-532-3449 - 1 Month Ago
Manager of Utilization Management, Integrated Care Team - Remote
- UnitedHealth Group
-
Phoenix, AZ
FULL_TIME
- Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connectin...
- 5 Days Ago
Director of Revenue Management
- Crestview Management, LLC
-
Carefree, AZ
FULL_TIME
- About the Job The Boulders Resort and Spa is a large, high-end resort that spans an impressive 33,000 sq. ft. Offering a luxurious spa, championship golf, and exclusive service in a uniquely dramatic ...
- 6 Days Ago
Director of Revenue Management
- Columbia Sussex Management
-
Carefree, AZ
FULL_TIME
- The Boulders Resort and Spa is a large, high-end resort that spans an impressive 33,000 sq. ft. Offering a luxurious spa, championship golf, and exclusive service in a uniquely dramatic setting - 1,30...
- 28 Days Ago
Program Director - Office Management
- Re-Bath, LLC
-
Phoenix, AZ
FULL_TIME
- Salary $80,000 - $90,000 plus bonus opportunity JOB SUMMARY With a vision to be the first – and only – place people go to remodel their bathroom, we are in search for a passionate, results-driven Oper...
- 16 Days Ago
Director of Quality Management
- Reunion Rehabilitation Hospital Phoenix
-
Phoenix, AZ
FULL_TIME
- Position Summary: The Director of Quality Management has oversight and responsibility over all quality, risk management, and patient safety-related activities within the organization. Directs the effo...
- 17 Days Ago
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0 Utilization Management Director jobs found in Phoenix, AZ area
Manager/Director of Marketing (1919605)
- Tier4 Group
-
Phoenix, AZ
- Manager/Director of Marketing Are you ready to lead a dynamic marketing team and shape a top firm's brand strategy? Our ...
- 4/24/2024 12:00:00 AM
Deputy Managing Director
- Quadel
-
Phoenix, AZ
- DEPUTY MANAGING DIRECTOR Phoenix, AZ Full Time Housing Choice Voucher Program Senior Manager/Supervisor DESCRIPTION: Ass...
- 4/24/2024 12:00:00 AM
Associate Director Cost Manager
- Turner & Townsend Group
-
Phoenix, AZ
- From the inception of a project through to completion and beyond, Turner & Townsend help to deliver the outcomes that ma...
- 4/24/2024 12:00:00 AM
Case Management Director II
- Encompass Health
-
Mesa, AZ
- As a member of Senior Leadership, the Director of Case Management (DCM) is responsible for the day to day operations and...
- 4/23/2024 12:00:00 AM
Manager/Director of Marketing (1919605)
- Tier4 Group
-
Phoenix, AZ
- Manager/Director of Marketing Are you ready to lead a dynamic marketing team and shape a top firm's brand strategy? Our ...
- 4/23/2024 12:00:00 AM
Managing Director of Property & Casualty
- Reseco Advisors
-
Phoenix, AZ
- Are you an experienced and dynamic professional looking for a new challenge? Look no further! Reseco Advisors is current...
- 4/22/2024 12:00:00 AM
Managing Director - Acquisitions
- Macdonald & Company
-
Phoenix, AZ
- Macdonald and Company have been exclusively retained by our client, a well-capitalized and rapidly growing commercial pr...
- 4/21/2024 12:00:00 AM
Tax Professionals - Senior, Supervisor, Manager, Director and Partner level - REMOTE / Great Work-li
- Taurus Search
-
Phoenix, AZ
- Tax Professionals Wanted! ???? Are you a Tax Professional looking for a career that combines expertise with flexibility?...
- 4/21/2024 12:00:00 AM
About Phoenix, Arizona
Phoenix is in the southwestern United States, in the south-central portion of Arizona; about halfway between Tucson to the southeast and Flagstaff to the north. By car, the city is approximately 150 miles (240 kilometers) north of the US-Mexico border at Sonoyta and 180 mi (290 km) north of the border at Nogales. The metropolitan area is known as the "Valley of the Sun" due to its location in the Salt River Valley. It lies at a mean elevation of 1,086 feet (331 m), in the northern reaches of the Sonoran Desert.
Other than the mountains in and around the city, the topography of Phoenix is gener...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Management Director jobs
$125,044 to $169,085
Phoenix, Arizona area prices
were up 2.2% from a year ago
were up 2.2% from a year ago
What does a Utilization Management Director do?
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