Utilization Management Director jobs in Appleton, WI

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)

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Director of Safety and Risk Management
  • Sentinel Safety & Security Group, LLC
  • Appleton, WI FULL_TIME
  • DIRECTOR OF SAFETY AND RISK MANAGEMENT (On- site | Appleton, WI)

    Sentinel Safety & Security Group, LLC is a strategic ownership group quickly growing their operations in the design, fabrication, installation, and maintenance of commercial fire sprinkler systems. Our mission statement reflects our purpose: “Your life safety is our life’s work”. Sound like a mission you’d like to be a part of? If so, we may have the opportunity for you! We are seeking an experienced and strategic Director of Safety and Risk Management in our Appleton, WI Corporate Office to lead our safety initiatives and risk mitigation efforts within the fire suppression and construction sector.

    As a key member of our leadership team, the Director of Safety and Risk Management will play a critical role in ensuring the safety of our employees, contractors, and stakeholders while managing risks effectively. In collaboration with the Safety Managers at our operating entities, some of the key responsibilities of this position include:

    · Collaborate with internal and external stakeholders to develop and implement evidence-based risk management solutions for fire suppression and construction operations.

    · Oversee the claims process, working closely with project managers, contractors, insurance providers, and third-party vendors, facilitating efficient and fair claims resolution.

    · Enhance and implement safety policies, procedures, and training programs and promote a safety-first culture across the organizations.

    · Establish emergency response protocols for various scenarios, coordinating drills and training sessions to prepare employees and contractors for emergencies.

    · Keep informed of industry-specific regulations, codes, and standards related to safety and risk management and ensure compliance with OSHA, NFPA, and other relevant guidelines.

    · Collect and analyze safety and risk data, identify trends and areas for improvement and prepare regular reports for senior management, highlighting key safety metrics and risk indicators.

    To be successful in this role, we expect you will possess a Bachelor’s Degree (Master’s preferred) in Risk Management, Occupational Health and Safety, or similar field plus a minimum of ten years of professional experience in safety and risk management within the fire suppression and construction industry. Relevant certifications (e.g., ARM, CRM, CSP) are a plus. Other important knowledge, skills and abilities needed for success include an extensive knowledge of self-insured programs and claims management as well as excellent communication, leadership, and analytical skills.

    In return for your knowledge, skills and experience, Sentinel Safety & Security Group offers a competitive salary and a benefit package that includes health, dental, vision, life, disability, and other insurance products as well as a 401k plan with match and paid time off.

    Experience Safety and Risk management leaders looking to expand their impact in a rapidly growing organization are welcome to apply here. We look forward to meeting you!

    Sentinel Safety and Security Group is an Equal Opportunity Employer

    Job Type: Full-time

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Employee assistance program
    • Health insurance
    • Health savings account
    • Life insurance
    • Paid time off
    • Vision insurance

    Schedule:

    • Monday to Friday

    Travel requirement:

    • Travel

    Education:

    • Master's (Preferred)

    Experience:

    • Safety and Risk Management: 10 years (Preferred)
    • Construction Safety: 10 years (Preferred)
    • Self Insured Property and Casualty Insurance: 5 years (Preferred)

    License/Certification:

    • Driver's License (Required)
    • ARM, CRM, or CSP Certification (Preferred)

    Ability to Relocate:

    • Appleton, WI 54913: Relocate before starting work (Required)

    Work Location: In person

  • 11 Days Ago

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Director-Program Management, HR Transformation
  • kohler
  • Kohler, WI FULL_TIME
  • Location: Remote at Kohler, WIOpportunityThe Sr. Director, HR Transformation Program Manager will play a pivotal role in the transformation of the HR Operating model and implementation of our HR Techn...
  • 7 Days Ago

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Director, IT Vendor Management Office
  • Kimberly-Clark USA, LLC
  • Neenah, WI FULL_TIME
  • Director, IT Vendor Management Office Job Description You’re not the person who will settle for just any role. Neither are we. Because we’re out to create Better Care for a Better World, and that take...
  • 27 Days Ago

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Resident Care Management Director - MDS - Full-Time 1st Shift
  • Stevens Point Health Services
  • Stevens, WI FULL_TIME
  • #LI-MJ1We provide in-depth MDS training, certifications, and ICD 10 coding. North Shore Health Care is Midwest's leading employer and provider of post-acute care. Our dedicated professionals strive to...
  • Just Posted

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Resident Care Management Director - MDS - Full-Time 1st Shift
  • Wisconsin Rapids Health Services
  • Wisconsin Rapids, WI FULL_TIME
  • Position DetailsJob Title Shift: 1st ShiftJob Title Status: Full-Time#LI-MJ1Come join a dynamic team at Wisconsin Rapids This is a vibrant Center with a high paced environment. We boast a deficiency f...
  • 26 Days Ago

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Resident Care Management Director - MDS - Full-Time 1st Shift
  • Tomahawk Health Services
  • Tomahawk, WI FULL_TIME
  • #LI-MJ1Come Join our amazing team at Tomahawk Health Services as a MDS Coordinator!This is a Hybrid position, up to $43 an hour! We provide in-depth MDS training, certifications, and ICD 10 coding. No...
  • 1 Month Ago

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0 Utilization Management Director jobs found in Appleton, WI area

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Administrative Assistant- 20 Hours/Week
  • Fond du Lac County, WI
  • Fond Du Lac, WI
  • Salary: $20.25 - $25.51 Hourly Location : 160 S Macy Street Fond du Lac, WI Job Type: Limited Part Time Job Number: 0422...
  • 4/26/2024 12:00:00 AM

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Operations Manager
  • Essity
  • Neenah, WI
  • Operations Manager Who We Are Essity is a global leader in health and hygiene with our corporate headquarters in Stockho...
  • 4/26/2024 12:00:00 AM

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Operations Manager
  • Dayton Freight
  • Neenah, WI
  • Overview: Stable and growing organization Competitive weekly pay Quick advancement Professional, positive and people-cen...
  • 4/26/2024 12:00:00 AM

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Production Manager
  • Fox Cities Performing Arts Center
  • Appleton, WI
  • JOB SUMMARY As a member of the team of the Fox Cities Performing Arts Center, you will help build a positive working env...
  • 4/25/2024 12:00:00 AM

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R&E Senior Manager
  • Intellyk Inc.
  • Neenah, WI
  • Job Title: Personal Care R&E Senior Manager Location: Neenah Wisconsin 54956 DIRECT HIRE The role is eligible for an ann...
  • 4/25/2024 12:00:00 AM

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Community Engagement Coordinator
  • Fox Valley Literacy
  • Appleton, WI
  • Fox Valley Literacy is a 501(c)3 nonprofit based in Appleton, WI that provides free English language, citizenship, readi...
  • 4/24/2024 12:00:00 AM

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Director - Research and Development
  • Koch Industries
  • Neenah, WI
  • Your Job Georgia-Pacific Consumer Operations LLC is seeking a highly motivated, dedicated and experienced Director of Pr...
  • 4/24/2024 12:00:00 AM

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Community Engagement Coordinator
  • Fox Valley Literacy
  • Appleton, WI
  • Fox Valley Literacy is a 501(c)3 nonprofit based in Appleton, WI that provides free English language, citizenship, readi...
  • 4/23/2024 12:00:00 AM

Appleton is a city in Outagamie (mostly), Calumet, and Winnebago counties in the U.S. state of Wisconsin. One of the Fox Cities, it is situated on the Fox River, 30 miles (48 km) southwest of Green Bay and 100 miles (160 km) north of Milwaukee. Appleton is the county seat of Outagamie County. The population was 72,623 at the 2010 census. Of this, 60,045 were in Outagamie County, 11,088 in Calumet County, and 1,490 in Winnebago County. Appleton is the principal city of the Appleton, Wisconsin Metropolitan Statistical Area, which is included in the Appleton-Oshkosh-Neenah, Wisconsin Combined Sta...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Management Director jobs
$122,640 to $165,834
Appleton, Wisconsin area prices
were up 1.3% from a year ago

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