How much does a Utilization Management Director make in the United States? The average Utilization Management Director salary in the United States is $126,871 as of August 27, 2021, but the range typically falls between $111,755 and $145,010. Salary ranges can vary widely depending on many important factors, including education, certifications, additional skills, the number of years you have spent in your profession. With more online, real-time compensation data than any other website, Salary.com helps you determine your exact pay target.
Job Description for Utilization Management Director
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 2021 Salary.com)... View full job description
RadNet, Inc., together with its subsidiaries, provides outpatient diagnostic imaging services in the United States. Its services include magnetic resonance imaging, computed tomography, positron emission tomography, nuclear medicine, mammography, ultrasound, diagnostic radiology, fluoroscopy, and other related procedur... More
Fiscal Year Ended in 2020
What does a Utilization Management Director do?
Utilization Management Director in Aurora, CO
Manages performance and issues with internal and external representatives regarding Union Issues, as necessary.
February 28, 2021
Develops and reviews medical necessity criteria and utilization management practices including a formal process of monitoring and evaluating the necessity, appropriateness, efficiency, effectiveness, and safety of medical services to achieve favorable healthcare outcomes.
April 01, 2021
Develops and implements departmental policies and procedures.
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Average Base Salary
Average Total Cash Compensation
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These charts show the average base salary (core compensation), as well as the average total cash compensation for the job of Utilization Management Director in the United States. The base salary for Utilization Management Director ranges from $111,755 to $145,010 with the average base salary of $126,871. The total cash compensation, which includes base, and annual incentives, can vary anywhere from $117,195 to $158,469 with the average total cash compensation of $136,237.