Utilization Management Director jobs in El Paso, TX

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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Case Management Nursing Director
  • Clinical Management Consultants
  • Fort Hancock, TX FULL_TIME
  • A rewarding opportunity is now available in the American Southwest for the RN Director Case Management! The outstanding hospital leadership team is seeking an energetic and motivated case management nurse leader with a go-getter attitude.

    Reporting directly to the Chief Financial Officer CFO, the Case Management Nurse Director will become responsible for autonomous oversight of the Case Management program for this rapidly growing short term acute care hospital. The Case Management RN Director will provide their clinical background, knowledge, and expertise, guiding fellow healthcare leaders and Case Management staff to facilitate care coordination, discharge planning, medical necessity and clinical reviews, and assessment of proper utilization of resources. This role will also become responsible for facility-wide adherence to Centers for Medicare and Medicaid Services' Conditions of Participation, in addition to other regulatory and accreditation requirements. The RN Director Case Management will have the opportunity to oversee a hardworking team of RNs, Social Workers, and ancillary personnel who are prepared to support the leader in this crucial role.

    Requirements for the Case Management Nurse Director role will include:

    • 3 years of progressive nursing management experience
    • Bachelor of Science in Nursing BSN Degree, Master's Degree highly preferred
    • Certification in Case Management (ACM, CCM or ANCC) preferred
    • Demonstrated knowledge of CMS Guidelines, InterQual, healthcare financial management

    Located in the beautiful American Southwest, this award-winning 100 bed community hospital offers a variety of medical services, including: 24/7 Emergency Services, Inpatient and Outpatient Surgical Services, Advanced Cardiovascular Services, Medical Surgical Care, Intensive Care Services, as well as a broad range of Outpatient Services. This growing academic hospital has achieved accreditation by The Joint Commission and is well-known for its delivery of high quality care to patients in the local area and beyond.

    This hospital is situated in a lush desert, known for its plentiful sunshine, amazing local Tex-Mex cuisine, and variety of fun outdoor activities. The Case Management Nurse Director will also find this area to provide affordable housing options and a great public school district, making this a great place to raise a family.

    The RN Director Case Management will be offered a desirable salary, comprehensive benefits package, and potential relocation assistance. This is an excellent opportunity for the experienced Case Management nurse leader who is looking to take the next step with a growing healthcare organization!

  • 2 Days Ago

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Director of Nursing
  • OPCO Skilled Management
  • El Paso, TX FULL_TIME
  • *Benefits available for Full Time employee’s* Facility Info: (Located in Roswell, New Mexico) *Salary: $120,000-$140,000 (Depends on experience and proven outcomes) Job Type: Full-time Benefits: 401 (...
  • 12 Days Ago

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Director of Telemedicine
  • Clinical Management Consultants
  • El Paso, TX FULL_TIME
  • An exceptional opportunity awaits in the Western Texas region for the role of Director of Telemedicine Services in a hospital setting! This full-time on-site position at a prominent acute care hospita...
  • 1 Month Ago

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Mammography Services Assistant Director
  • Clinical Management Consultants
  • Anthony, TX FULL_TIME
  • A unique healthcare leadership opportunity is immediately available in the American Southwest for the Mammography Services Assistant Director! The experienced ARRT who specializes in Mammography will ...
  • 21 Days Ago

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Nurse Director of Quality
  • Clinical Management Consultants
  • El Paso, TX FULL_TIME
  • An amazing hospital in Southern New Mexico is in search of a new Nurse Director of Quality. This community hospital has made a huge positive impact on the population it serves. It is known for its hig...
  • 23 Days Ago

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Nurse Director of Quality
  • Clinical Management Consultants
  • Fort Bliss, TX FULL_TIME
  • An amazing hospital in Southern New Mexico is in search of a new Nurse Director of Quality. This community hospital has made a huge positive impact on the population it serves. It is known for its hig...
  • 7 Days Ago

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0 Utilization Management Director jobs found in El Paso, TX area

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Shift Manager
  • HMSHost International
  • El Paso, TX
  • ** Shift Manager** **Purpose** The purpose of the Manager I (MGRI) position is to assist Branch management in tactically...
  • 4/26/2024 12:00:00 AM

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Senior Human Resources Specialist
  • City of El Paso, TX
  • El Paso, TX
  • Salary : $40,250.00 - $67,670.00 Annually Location : Various Locations within the City of El Paso, TX Job Type: Civil Se...
  • 4/26/2024 12:00:00 AM

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Banquet House Attendant Paso Del Norte - El Paso, TX, 79901 chevron_right
  • Tucci Learning Solutions, Inc.
  • El Paso, TX
  • Banquet House Attendant Job Details Level Undisclosed Job Location Paso Del Norte - El Paso, TX Remote Type N/A Position...
  • 4/23/2024 12:00:00 AM

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Facilities - CM Project Manager
  • Johnson, Mirmiran & Thompson
  • El Paso, TX
  • ECM, a JMT Company, provides a full range of project delivery services for many types of projects and clients. From indu...
  • 4/23/2024 12:00:00 AM

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Facilities - CM Project Manager
  • Johnson, Mirmiran, and Thompson Inc.
  • El Paso, TX
  • ECM, a JMT Company, provides a full range of project delivery services for many types of projects and clients. From indu...
  • 4/23/2024 12:00:00 AM

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Director of Operations - Military Housing (Remote)
  • Hunt
  • El Paso, TX
  • A Brief Overview Under the direction of the Vice President Operations, the Director Operations is responsible for the le...
  • 4/23/2024 12:00:00 AM

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GM/HBC Manager - El Paso, TX - 1006
  • Albertsons
  • El Paso, TX
  • Job Description PURPOSE: Exemplifies strong customer service in every aspect of the job. Directs and controls the operat...
  • 4/22/2024 12:00:00 AM

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School Building Leader (Hiring at Multiple Levels)
  • GetSelected.com
  • El Paso, TX
  • Free job-searching + PD for educators. Find a school you love! Position Description School Building Leadership at multip...
  • 4/22/2024 12:00:00 AM

El Paso is located at the intersection of three states (Texas, New Mexico, and Chihuahua) and two countries (the U.S. and Mexico). It is the only major Texas city on Mountain Time. Ciudad Juarez used to be on Central Time, but both cities are now on Mountain Time. El Paso is closer to the capital cities of four other states - Phoenix, Arizona (345 miles away); Santa Fe, New Mexico, (273 miles away); Ciudad Chihuahua, Chihuahua, (218 miles away), and Hermosillo, Sonora (325 miles away) - than it is to the capital of its own state, Austin (528 miles away). It is closer to Los Angeles, California...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Management Director jobs
$110,237 to $149,062
El Paso, Texas area prices
were up 1.2% 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