Utilization Management Director jobs in Twin Falls, ID

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

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Director of Plant Operations
  • Clinical Management Consultants
  • Lamoille, NV FULL_TIME
  • A new and exciting Director of Facilities opportunity has just opened up at an award winning hospital in Northeastern Nevada! This reputable hospital is seeking a Director of Plant Operations to lead their dynamic team.

    The Director will join an established Community Health Center that has been providing top quality care in Nevada for the last 20 years. This 50 bed healthcare system recently received Joint Commission Accreditation and continues to rank in the top 10% of hospitals in the United States in Quality Patient Excellence. This Hospital specializes in Cardiac Catheterization Laboratory, Delivery Land Maternal Care Services, and a full spectrum of Radiology/Imaging Services.

    The Director of Plant Operations will report to the tenured Chief Executive Officer and work in collaboration with other healthcare leaders to maintain everyday operations of the hospital. This position encompasses oversight of three departments; Facilities Management, Safety and Disaster Management. The Director of Plant Operations will supervise facility maintenance managers and plant operator leads.

    Ensuring compliance with occupational health and safety guidelines, advising on safety measures, conducting risk assessments and implementing preventative measures will fall to the Director of Plant Operations. Additional responsibilities will include inspecting the facility to identify safety, health and environmental risks while implementing inspection policies and procedures to address risks.

    A candidate with strong acute care hospital leadership and experience with safety and disaster management will surely make for a quick interview for the Director of Plant Operations opening.

    Lying in Northeastern Nevada, the Director of Plant Operations will enjoy a low cost of living accompanied by a high quality of life due to countless outdoor activities, a close knit community, beautiful climate and access to the nearby mountain ranges. With excellent schools and room to roam, this location is hard not to love.

    This hospital is prepared to offer competitive compensation, generous benefits, and assistance with relocation.
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Business Development & Relationship Management Specialist
  • Avera Capital Wealth Management
  • Burley, ID FULL_TIME
  • Business Development & Relationship Management Specialist - Join Our Magic Valley Wealth Management Team!At Avera Capital Wealth Management in Magic Valley, we are not just about growth; we're about f...
  • 1 Month Ago
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Director
  • Jerome Chamber of Commerce
  • Jerome, ID FULL_TIME
  • The full-time Director will be pivotal in driving community engagement, advocacy, and financial stability for the chamber. This role creates and implements programs, events, and initiatives that suppo...
  • 1 Day Ago
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Restaurant Management Opportunities
  • Buffalo Wild Wings
  • Twin Falls, ID FULL_TIME
  • In most jobs, everyone doesn’t spontaneously erupt into applause and start raining down high-fives. At Buffalo Wild Wings, that’s just a Thursday night. This is the place to start the next phase of yo...
  • 10 Days Ago
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Retail management nv
  • GameStop
  • Elko, NV FULL_TIME
  • PLEASE NOTE : Your application will be considered for all locations within this district. Our passion around delighting our customers is our singular mission. We are simply obsessed with it. It’s what...
  • 24 Days Ago
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Management & Sales Training Program
  • Sherwin-Williams
  • Twin Falls, ID FULL_TIME
  • The Sherwin-Williams Management & Sales Training Program is an accelerated, entry-level position designed to prepare you for a Store Management role in 18-24 months. With Sherwin-Williams’ promote-fro...
  • 1 Month Ago
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0 Utilization Management Director jobs found in Twin Falls, ID area

About Twin Falls, Idaho

Twin Falls is located at 42°34'N 114°28'W (42.561,-114.464). According to the United States Census Bureau, the city has a total area of 18.16 square miles (47.03 km2), of which, 18.10 square miles (46.88 km2) is land and 0.06 square miles (0.16 km2) is water. The Snake River Canyon forms the city's northern limits, separating it from Jerome County. There are three waterfalls in the immediate area. Shoshone Falls is located approximately 5 miles (8.0 kilometres) east of Twin Falls city. Pillar Falls is located approximately 1 1⁄2 mi (2 1⁄2 km) upstream from the Perrine Bridge while Twin Falls, ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Management Director jobs
$111,755 to $151,116
Twin Falls, Idaho area prices
were up 2.5% from a year ago
View detail

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