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)
Seeking a Physician Advisor/Medical Director Utilization Review for a Level II Trauma Center and well established hospital serving 255 beds and averaging 15000 inpatient visits yearly.
Position located 70 miles from Seattle, WA - mild summers, golfer's mecca, stunning waterfalls, clean air, awesome hiking trails, freshwater lakes, coves and tidelands spread out across Larrabee's 2,600 acres.
If you are a physician licensed in the State of WA and is passionate about QI, this will be an ideal opportunity to consider. Relocation assistance available.
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0 Utilization Management Director jobs found in Bellingham, WA area