Utilization Management Director jobs in Chico, CA

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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Social Worker II - Utilization Management
  • Saint Joseph Medical Center
  • Redding, CA FULL_TIME
  • Social Worker II - Utilization Management
    Facility Shasta Regional Medical Center
    Location US-CA-Redding ID 2024-156421 Category Clinical Professional Position Type Full Time Shift Days Job Type Non-Exempt
    Overview

    Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Shasta Regional Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

    Shasta Regional Medical Center is a 226-bed acute care facility serving Northern California. The hospital offers a comprehensive range of services. Shasta Regional Medical Center is one of the nation's 50 Top Cardiovascular Hospitals recognized by Watson Health and holds an 'A' Grade from Leapfrog Group, the nation's premier advocate of transparency in health care.The hospital is Joint Commission Certified for Stroke, Hip/Knee and Diabetes. They are a Five Star recipient for treatment of heart failure, respiratory failure and is named among the top 5% in the nation for patient safety. Shasta Regional Medical Center delivers patient-centered healthcare with compassion, dignity and respect for every patient and their family. For more information, visit www.shastaregional.com.

    We are an Equal Opportunity Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation, or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

    Responsibilities

    SOCIAL SERVICE II: To provide emotional support, crisis intervention and counseling for Pediatrics, Adolescents, Adults, Older Adults and their significant others to cope with a multiplicity of social and emotional problems; information and referral; referrals for financial assistance and supportive services to patients and families with problems that are related to treatment services, illness, disability or trauma. To provide case management & milieu management, complete psychosocial assessments, assist in the development and re-evaluation of Treatment Plans and work as a member of an interdisciplinary team, and to coordinate discharge planning. Complete necessary documentation and maintain clinical record for each client during their length of stay.

    Qualifications

    EDUCATION, EXPERIENCE, TRAINING

    1. Master's degree in Social Work, Marriage and Family Therapy, Licensed Professional Clinical Counselor or related field.
    2. In states requiring license, required upon hire and maintain current in accordance with state regulations. In states without a licensure requirement, current registration for with appropriate state board required and/or under clinical supervision to meet clinical hours required for licensure.
    3. Current BLS certificate upon hire and maintain current.
    4. Minimum one (1) year Inpatient l or Outpatient Behavioral Health experience. Experience in working with a diverse population with a wide range of problems (i.e., death and dying, maternal and child care, substance abuse, disability, chronic illness, etc.).

    Shasta Regional Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $26.50 to $40.53. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

    Connect With Us!
    Not ready to apply? Connect with us for general consideration.


    We believe that all persons are entitled to equal employment opportunity and does not discriminate against qualified employees or applicants because of race, color, national origin, ancestry, sex, marital status, child birth or related medical condition or any other protected category as defined by State or Federal Law. We are an equal opportunity employer and do not discriminate against applicants due to veterans status, disability, race, gender or other protected characteristics.

     

  • 24 Days Ago

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Radiology Director
  • Clinical Management Consultants
  • Redding, CA FULL_TIME
  • Excellent Leadership Opportunity in Northern California for the Radiology Department Director! Come and join this outstanding team in the role of Director Radiology Services. This tight-knit team is s...
  • 1 Month Ago

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General Manager Funeral Director
  • Dogwood Management Partners
  • Redding, CA FULL_TIME
  • Position: General Manager Funeral Director Location: Redding, CA Job Overview:We are seeking a compassionate and experienced professional Funeral Director to join our team and manage combo and stand a...
  • 16 Days Ago

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RN Director Behavioral Health
  • Clinical Management Consultants
  • Chico, CA FULL_TIME
  • An established community health hospital located in Northern California is looking for an experienced RN Behavioral Health Director leader to join their team and lead their Behavioral Health Services ...
  • 17 Days Ago

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Nursing Director of Behavioral Health
  • Clinical Management Consultants
  • Chico, CA FULL_TIME
  • An established community health hospital located in Northern California is looking for an experienced RN Behavioral Health Director leader to join their team and lead their Behavioral Health Services ...
  • 1 Month Ago

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Hospital HIM Director
  • Clinical Management Consultants
  • Red Bluff, CA FULL_TIME
  • A Dedicated Community Medical Center in North Central California is looking for a HIM Director to join their staff. Apply today to join a high quality Health System and advanced your career in Health ...
  • 28 Days Ago

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0 Utilization Management Director jobs found in Chico, CA area

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Lead Store Clerk, Thrift Store #2 (Full time & Benefits) Oroville, CA
  • Salvationarmytucson
  • Oroville, CA
  • ** Lead Store Clerk, Thrift Store #2 (Full time & Benefits) Oroville, CA** **Job Category****:** Thrift Stores - all pos...
  • 4/23/2024 12:00:00 AM

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Housing System Analyst & Data Manager (Information Technology Consultant-Career)
  • California State University System
  • Chico, CA
  • : Under the general direction of the University Housing Associate Director of Administration, the incumbent delivers fun...
  • 4/23/2024 12:00:00 AM

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Associate Director for Facility Operations & Projects (Administrator II)
  • California State University Chico
  • Chico, CA
  • APPLICATIONS MUST BE SUBMITTED ONLINE NO LATER THAN 11:55PM ON THE CLOSING DATE. Paper applications will not be accepted...
  • 4/23/2024 12:00:00 AM

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GIS Operations Manager
  • Deer Creek Resources
  • Chico, CA
  • April 2024 GIS Operations Manager, Deer Creek Resources, Chico, California Salaried, full time, with commission on sales...
  • 4/22/2024 12:00:00 AM

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Internal Revenue Agent (Senior Revenue Agent (Examiner) -12 MONTH ROSTER
  • Department Of The Treasury
  • Chico, CA
  • Duties WHAT IS THE SBSE - SMALL BUSINESS SELF EMPLOYED DIVISION? A description of the business units can be found at: ht...
  • 4/22/2024 12:00:00 AM

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Interim Director of Bands Department of Music, Theatre and Dance
  • California State University Chico
  • Chico, CA
  • APPLICATIONS MUST BE SUBMITTED ONLINE NO LATER THAN 11:55PM ON THE CLOSING DATE. Paper applications will not be accepted...
  • 4/22/2024 12:00:00 AM

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Program Manager- Butte County
  • Horizon Services, Inc.
  • Chico, CA
  • ****$500 Signing Bonus***** JOB TITLE: Program Manager LOCATION: Butte County Who are we? Horizon Services, Inc. (HSI) i...
  • 4/20/2024 12:00:00 AM

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GIS Operations Manager
  • Deer Creek Resources
  • Chico, CA
  • April 2024 GIS Operations Manager, Deer Creek Resources, Chico, California Salaried, full time, with commission on sales...
  • 4/19/2024 12:00:00 AM

Chico is the most populous city in Butte County, California, United States. As of the 2010 United States Census, the population was 86,187, reflecting an increase of 26,233 from the 59,954 counted in the 2000 Census. The city is the cultural, economic, and educational center of the northern Sacramento Valley and home to both California State University, Chico and Bidwell Park, the country's 26th largest municipal park and the 13th largest municipally-owned park. Bidwell Park makes up over 17% of the city. Other cities in close proximity to the Chico Metropolitan Area (population 212,000) incl...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Management Director jobs
$130,487 to $176,444
Chico, California area prices
were up 2.5% 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