Utilization Management Director jobs in Sacramento, 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)

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Director of Utilization Management
  • UHS
  • SACRAMENTO, CA FULL_TIME
  • Responsibilities

    Director of Utilization Management Opening!

     

    Located in Sacramento, California, Sierra Vista Hospital is a compassionate behavioral health facility and a center of support for adult and adolescent patients and their families. Since 1986, we have offered our clinical expertise to those suffering from behavioral health disorders or dual diagnosis. Our private 171-bed facility is home to a clinical team of licensed professionals committed to providing the highest quality care. We also provide inpatient alcohol detox and outpatient chemical dependency services.

     

     

    The Clinical Director of Utilization Management is responsible for the development of best practice review and oversight of clinical documentation per standards, organizational development of the manager and direct staff. The director will support the clinical standards per Title -9, CMS and other regulatory bodies as required and support the plan of Sierra Vista Hospital.

     

    Benefit Highlights:

    • Challenging and rewarding work environment
    • Competitive Compensation
    • Tuition Reimbursement Program and Student Loan Forgiveness Program
    • Excellent Medical, Dental, Vision and Prescription Drug Plan
    • 401(K) with company match and discounted stock plan
    • Generous Paid Time Off
    • Career development opportunities within UHS and its 300  Subsidiaries

     

     


    Qualifications

    Social Work Licensed (LCSW, LMFT, LPCC) from accredited program; or Bachelors’ degree in professional nursing required. A minimum of Two (2) years’ experience in Utilization Management or Assessment and Referral preferred. 

     

    EEO Statement

    All 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.

     

    Notice

    At 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 1-800-852-3449.

     

     

    About Universal Health Services

    One 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 Rico and the United Kingdom. www.uhs.com

  • 12 Days Ago

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Utilization Management Nurse, Consultant
  • BSC
  • Rancho Cordova, CA FULL_TIME
  • Your Role The Utilization Management team facilitates the review of requests for medical necessity to assure that care is provided to our members timely, at the correct level of care with quality and ...
  • 7 Days Ago

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Utilization Management Nurse, Consultant
  • BSC
  • Rancho Cordova, CA FULL_TIME
  • Your Role The Utilization Management team facilitates the review of requests for medical necessity to assure that care is provided to our members timely, at the correct level of care with quality and ...
  • 7 Days Ago

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Utilization Management Compliance Coordinator
  • Dignity Health Medical Foundation
  • RANCHO CORDOVA, CA FULL_TIME
  • OverviewDignity Health Medical Foundation established in 1993 is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affi...
  • 1 Month Ago

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RN Supervisor Utilization Management
  • Dignity Health Medical Foundation
  • RANCHO CORDOVA, CA FULL_TIME
  • Overview***This position is hybrid in-office and work from home. Dignity Health Medical Foundation established in 1993 is a California nonprofit public benefit corporation with care centers throughout...
  • 2 Months Ago

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RN, Care Manager, Utilization Management
  • Adventist Health
  • Roseville, CA FULL_TIME
  • Adventist Health is ranked #10 in Becker's list of the largest nonprofit hospital systems in the U.S. We are the largest company headquartered and sixth largest employer in Roseville, California. Our ...
  • 2 Months Ago

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0 Utilization Management Director jobs found in Sacramento, CA area

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Nurse Practitioner Specialty, NBMC ICU (0.75 Day Shift)
  • Northbay Healthcare Group
  • Fairfield, CA
  • At NorthBay Health the Nurse Practitioner (NP) is a Registered Nurse who is accountable for functions which enhance the ...
  • 4/17/2024 12:00:00 AM

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Project Manager (Capex)
  • Quick Quack Car Wash
  • Rocklin, CA
  • Facilities / CAPEX Project Manager We are seeking a Facilities and CAPEX Project Manager for a 200+ multi-site car wash ...
  • 4/16/2024 12:00:00 AM

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Product Management Director - Cloud Data Warehouse
  • Cloudera Inc.
  • Sacramento, CA
  • **Product Management Director - Cloud Data Warehouse** **Job Description:** **** We are looking for an experienced produ...
  • 4/15/2024 12:00:00 AM

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Manager
  • HMSHOST
  • Sacramento, CA
  • With a career at HMSHost, you really benefit! We offer: Health, dental and vision insurance Generous paid time off (vaca...
  • 4/15/2024 12:00:00 AM

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Community Association Manager - Team Supervisor
  • The Helsing Group, Inc.
  • Citrus Heights, CA
  • Job Description Job Description Hours: Hours necessary to accomplish the job are generally 45 hours a week and on occasi...
  • 4/14/2024 12:00:00 AM

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Recruitment Team Leader
  • Employablenetwork
  • Davis, CA
  • **Recruitment Team Leader** **Job ID**: 1521707 **Job Views**: 1594 **Location:** London, United Kingdom **Postcode:** *...
  • 4/14/2024 12:00:00 AM

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Recruitment and Admissions Manager
  • NPower
  • Sacramento, CA
  • POSITION SUMMARY NPower seeks a committed and passionate Recruiting and Admissions Manager to work with the California N...
  • 4/14/2024 12:00:00 AM

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Shift Manager
  • HMSHost International
  • Sacramento, CA
  • ** Shift Manager** **Purpose** The purpose of the Manager I (MGRI) position is to assist Branch management in tactically...
  • 4/13/2024 12:00:00 AM

Sacramento (/ˌsækrəˈmɛntoʊ/ SAK-rə-MEN-toh; Spanish: [sakɾaˈmento]) is the capital city of the U.S. state of California and the seat of Sacramento County. Located at the confluence of the Sacramento River and the American River in Northern California's Sacramento Valley, Sacramento's estimated 2018 population of 501,334 makes it the sixth-largest city in California and the ninth largest capital in the United States. Sacramento is the seat of the California Assembly, the Governor of California, and Supreme Court of California, making it the state's political center and a hub for lobbying and th...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Management Director jobs
$136,815 to $185,001
Sacramento, California area prices
were up 2.5% 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