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)
DIRECTOR OF HEALTH INFORMATION MANAGEMENT (HIM) Full Time Exempt Position. The Director of Health Information Management develops department goals, objectives, standards of performance, and policies and procedures. The Director also organizes the department in accordance with administrative guidelines to provide specified health information management services to meet legal, organizational, and Medical Staff guidelines. Additionally, the Director directs the implementation and ensures compliance with the standard of Health Information Management services and Conditions of Participations of Medicare and Medicaid. The Director also serves as the District’s Privacy Officer. Bachelor's degree preferred, Associate's degree required. RHIT or RHIA preferred, CCS required. Prefer 5 years of experience in a healthcare setting in HIM field. Ballinger Memorial Hospital District offers numerous outpatient services, acute and swing bed care, and is certified as a level IV trauma ER. They also provide a clinic with physicians and mid-level providers. Ballinger Memorial Hospital District participates in and promotes activities that encourage wellness in our community. Ballinger Memorial Hospital District offers competitive salaries and excellent benefits. All employees are enrolled in the TCDRS retirement plan, with a generous employer contribution. Full-Time employees are eligible for medical, dental, and vision insurance, short term disability and cafeteria plans. BMHD provides $40,000 life insurance and long-term disability for all Full-Time employees. To apply, contact Cam Martin, HR Director, at 325-365-4952, or email resume to email provided, or apply in person at 608 Avenue B, Ballinger, Texas. recblid q7wypmfprmsi9xmkh5id7416gxwly6
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Ballinger Memorial Hospital District
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