Utilization Management Director jobs in Colorado Springs, CO

About the Position: This position is responsible for providing initial, ongoing and systematic utilization review and discharge planning efforts (in coordination with discharge planner) on all patients assigned by Director, coordinating patient care; advocating for the patient and facility; and promoting quality of care.  All other duties as reasonably assigned to meet department objectives to include schedule variations.  Schedule for this position includes weekends. 

Cedar Springs Hospital COVID-19 vaccination mandate:

In accordance with Colorado state public health order, all healthcare workers must be vaccinated, and the Company must verify vaccine status. Pursuant to this public health order, the following modes constitute as proof of vaccination:

• an electronic entry in the Colorado Immunization Information System (CIIS); OR
• an immunization record from a licensed healthcare provider who has administered a COVID-19 vaccine to an individual who provides services for the facility or agency, specifying the vaccine administered, name and title of the person who administered the vaccine, address of the location where the vaccine was administered, and the date it was administered. A

COVID-19 Vaccination Record Card (issued by the Department of Health and Human Services Centers for Disease Control & Prevention or WHO Yellow Card) which includes name of person vaccinated, type of vaccine provided, and date last dose administered would suffice.

As an employee of Cedar Springs we offer the following benefits:

Medical, Vision, Dental, Life Insurance

Short Term/Long Term Disability

Paid Time Off

Education/Tuition Assistance

Employee Assistance Program (EAP)

Cedar Springs Hospital is in compliance with the Healthy Family and Workplaces Act (HFWA) and Families First Coronavirus Response Act (FFCRA).

  Exemptions

1. Workers may be exempt from the vaccination requirements by providing a signed exemption form indicating one of the following:

1. Religious Beliefs
2. Qualifying Medical Reason

1. To be eligible for an exemption based on Religious Beliefs, the worker must provide a written statement describing the worker’s sincerely held religious beliefs and how those beliefs conflict with Colorado’s August 21, 2021 Public Health Order requiring certain healthcare workers to be fully vaccinated against COVID-19. The company may request supporting documentation to further evaluate the request for religious accommodation.

1. To be eligible for a Qualified Medical Reason exemption, the worker must provide a written statement signed by a physician, physician assistant, advanced practice nurse, or certified nurse midwife licensed in the State of Colorado stating that the COVID-19 vaccination for the employee, direct contractor, or support staff is medically contraindicated as described in the product labeling or authorized by the FDA. This statement should not describe the underlying medical condition or disability but should indicate the probable duration of the inability to receive the vaccine.

1. A record of signed exemption forms and statements submitted in support of the exemption request must be maintained in a confidential HR Medical file, separate from the Personnel File.

Pay Transparency:

To encourage pay transparency, promote pay equity, and proactively address regulations, UHS and all our subsidiaries will comply with all applicable state or local laws or regulations which require employers to provide wage or salary range information to job applicants and employees. A posted salary range applies to the current job posting. Salary offers may be based on key factors such as education and related experience.

UHS is a registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a wholly-owned subsidiary of Universal Health Services, Inc. Universal Health Services, Inc. is a holding company and operates through its subsidiaries including its management company, UHS of Delaware, Inc. All healthcare and management operations are conducted by subsidiaries of Universal Health Services, Inc. To the extent any reference to "UHS or UHS facilities" on this website including any statements, articles or other publications contained herein relates to our healthcare or management operations it is referring to Universal Health Services' subsidiaries including UHS of Delaware. Further, the terms "we," "us," "our" or "the company" in such context similarly refer to the operations of Universal Health Services' subsidiaries including UHS of Delaware. Any employment referenced in this website is not with Universal Health Services, Inc. but solely with one of its subsidiaries including but not limited to UHS of Delaware, Inc. UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at UHS via-email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries.  We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852

Requirements:

Requires organizational, verbal, interpersonal and customer service skills, grammar and spelling, the ability to read/comprehend written instructions and follow verbal instructions.  Ability to establish and maintain effective working relationships with employees, managers, referral sources, patients/families, community resources, etc.  Ability to exercise professional independent judgment in planning own work. Must be flexible with work hours to accommodate work volumes.  Knowledge of utilization management and managed care environment is helpful.

Experience/Education:

Bachelor Degree in a human services field (Master's level preferred)  with two years of treatment-oriented experience, OR a Bachelor of Science degree in Nursing from an accredited college or university with a current Colorado RN license. Experience in utilization review, managed care, or determining appropriateness for level of care is preferred.

Physical Requirements: