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)
Hegira Health, Inc. (HHI), a private non-profit corporation, is one of the largest freestanding behavioral healthcare agencies in the area. HHI, accredited by the Joint Commission and licensed by the State of Michigan, provides a broad array of mental health and substance abuse treatment and prevention services to individuals of all ages.
Oakdale Recovery Center (ORC) - provides withdrawal management and short-term residential treatment services to adults with substance use disorders, many whom have mental health disorders as well. Average LOS is 3 days for WD and 14 days for residential treatment. Hegira Health, Inc.
Schedule: Sunday through Thursday 9am-5:30pm
Utilization Management Specialist Education/ Experience:
Utilization Management Specialist Primary Responsibilities (summary of):
Job Type: Full-time
Pay: $16.00 - $19.00 per hour
Expected hours: 40 per week
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Work Location: In person
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0 Utilization Management Director jobs found in Ann Arbor, MI area