Utilization Management Director jobs in South Carolina

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 2020 Salary.com)

Senior Engineer Application/Automation Support Services
  • OUTSOURCE Consulting Services, Inc. (OCSI.co)
  • Aiken, SC
  • Ability to define specific problems based on general problem information from management and ... Ability to ensure compliance with technical requirements of assigned work, proper utilization and ...
  • 2 days ago

Plant Customer Service
  • Red Collar Pet Foods, Inc.
  • Orangeburg, SC
  • Utilization of scanners to conduct inquiries and basic warehouse functions * Assists shipping ... and Self-directed with organizational and time management skills * Computer proficiency with MS ...
  • 4 days ago

Chief Medical Officer (CMO) - Grand Strand
  • HCA Healthcare - Chief Medical Officer
  • Myrtle Beach, SC
  • Serves as a direct liaison between HCA-affiliated physicians and facility/corporate clinical ... management, appropriate documents standards, utilization and quality issues, and quality ...
  • 5 days ago

  • Mediko
  • Horry County, SC
  • ... Medical Director. The Site Physician will provide independent primary care in a correctional ... utilization management, pharmacy and therapeutics, and assists in development of criteria. 24
  • 6 days ago

South Carolina (/ˌkærəˈlaɪnə/ (listen)) is a state in the Southeastern United States and the easternmost of the Deep South. It is bordered to the north by North Carolina, to the southeast by the Atlantic Ocean, and to the southwest by Georgia across the Savannah River. South Carolina became the eighth state to ratify the U.S. Constitution on May 23, 1788. South Carolina became the first state to vote in favor of secession from the Union on December 20, 1860. After the American Civil War, it was readmitted into the United States on June 25, 1868. South Carolina is the 40th most extensive and 23...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Management Director jobs
$106,975 to $144,649

Utilization Management Director in Aurora, CO
Manages and oversees the utilization review management training and education program for Utilization Review leaders and staff across the region.
January 20, 2020
Reviews analyses of activities, costs, operations and forecast data to determine progress toward utilization management goals and objectives.
December 16, 2019
Manages performance and issues with internal and external representatives regarding Union Issues, as necessary.
October 26, 2019