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)

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Behavioral Health Clinical Care Reviewer - 003JB1
  • Techlink Systems
  • North Charleston, SC
  • ... Director when indicated . * CCRs are responsible to ensure that treatment delivered is ... Managed Care and Utilization Management experience required. * Behavioral Health Management ...
  • 15 hours ago

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IT Systems Manager
  • DivTek Global Solutions Inc.
  • Spartanburg, SC
  • ... our direct client a leader in financial industry Looking for a hands-on IT Systems Manager ... utilization Work to establish and maintain processes for procurement of hardware, software, and ...
  • 2 days ago

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RN - Behavioral Health and Utilization Management (003MV1)
  • Techlink Systems
  • North Charleston, SC
  • Managed Care and Utilization Management experience required. Behavioral Health Management ... Medical Director when indicated. CCRs are responsible to ensure that treatment delivered is ...
  • 4 days ago

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Nabisco Senior Sales Service Merchandiser
  • Mondelez
  • Greenville, SC
  • Selling and Inventory Management: Fully using sales, order management systems and technologies to ... Utilization of innovation and creativity in generating new and unique ideas and solutions that ...
  • 4 days ago

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Registered Nurse
  • Palmetto Endoscopy Center LLC
  • Charleston, SC
  • ... utilization of pre-determined standards which define the structure, process, and desired patient ... to manage situations and minimize risk to patients, self, colleagues and institution. 15. Strives ...
  • 5 days ago

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Sr IT Systems Manager
  • Affinity Executive Search
  • Spartanburg, SC
  • ... resource allocation and utilization * Maintains, reviews and documents all necessary systems ... Proven project management skills * 7 years of Information Services experience * 3 years of specific ...
  • 5 days ago

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Sr IT Systems Manager
  • Job Juncture
  • Spartanburg, SC
  • ... resource allocation and utilization * Maintains, reviews and documents all necessary systems ... Proven project management skills * 7 years of Information Services experience * 3 years of specific ...
  • 6 days ago

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Local Sales Manager - Ad Sales
  • SPECTRUM
  • Myrtle Beach, SC
  • ... account management, quantitative and qualitative research tools, and cultivation of key accounts ... Director, Media Sales to maximize pricing, sponsorships, promotions, and inventory utilization
  • 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
$106,758 to $144,360

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