Utilization Management Director jobs in Fort Worth, 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)

U
Director - Utilization Review/ MGMT
  • Universal Health Services, Inc.
  • Denton, TX FULL_TIME
  • Responsibilities

    Mayhill Hospital located in Denton, TX just north of Dallas and Fort Worth, is a 59-bed private psychiatric hospital specializing in mental health and chemical dependency care for adults and seniors. We are one of the few facilities in the area that can provide care to those individuals with both coexisting psychiatric and medical conditions. We are uniquely trained to provide care to seniors who have exhausted their psychiatric days. It is our goal to provide compassionate care to those individuals living with mental illness so they can live their life to the fullest. We believe life with mental health disorder can be managed in a way that allows a person to thrive. When life's challenges seem to big to handle alone, Mayhill Hospital is here to help.

    Website:

    Position Summary

    The Director of Utilization Review is responsible for directing and overseeing the Utilization Review Program for In Patient and Out Patient services. This includes the implementation of case management scenarios, consulting with all services to ensure the provision of an effective treatment plan for all patients, oversees the response to requests for services and interfaces with managed care organizations, external reviewers, and other payors.

    Job Duties/Responsibilities:

    • Direct the response to request for services, including the initial response, the assessment and referral process, the designation of appropriate level of care, initiating services, and follow up activity
    • Create a structure that best meets the needs of the organization, particularly department organization related to supervision and assignment of staff
    • Ensure that a system is developed to provide continuity of care and communication with family and appropriate referral sources, and ensure the system is evaluated and reviewed regularly

    Benefit Highlights:

    • Challenging and rewarding work environment
    • Competitive Compensation & Generous Paid Time Off
    • Excellent Medical, Dental, Vision, and Prescription Drug Plans
    • 401(K) with company match and discounted stock plan
    • SoFi Student Loan Refinancing Program
    • Career development opportunities within UHS and its 300 Subsidiaries!
    • More information is available on our Benefits Guest Website: uhsguest.com

    About Universal Health Services

    One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $14.3 billion in 2023. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies.

    Headquartered in King of Prussia, PA, UHS has approximately 96,700 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related

    services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com


    Qualifications

    QUALIFICATIONS

    Education: Degree in nursing, social work, mental health/behavioral sciences, or related field preferred. Combination o feducation and experience may be considered.

    Experience: A minimum of five (5) years direct clinical expereince in a psychiatric or mental health treatmnet setting. A minimum of one year of managing a related function is preferred. Experience in patient assessment, family motivation, treatment planning and communication with external review organizations or comparable entities.

    Licensure: LMSW, LPC, RN or LVN required.

    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.

    Avoid and Report Recruitment Scams

    At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS

    and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

    If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

     

  • 21 Days Ago

U
Director - Utilization Review/ MGMT
  • UHS
  • DENTON, TX FULL_TIME
  • Responsibilities This full-time opportunity in the Case Management Department offers 40 hours per week, full benefits, and a convenient day shift schedule. There is opportunity to cover various shifts...
  • 1 Month Ago

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ADMISSIONS DIRECTOR
  • PRIORITY MANAGEMENT
  • Springtown, TX OTHER
  • Job Details Job Location: Springtown Park Rehabilitation and Care Center - Springtown, TX Salary Range: Undisclosed Job Shift: Day ADMISSIONS DIRECTORWe put the care in healthcare. Our care teams are ...
  • 11 Days Ago

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Community Director
  • Indio Management
  • Worth, TX FULL_TIME
  • Allow us to INTRODUCE ourselves: Headquartered in Dallas, Indio is proud to call Texas home. With deep roots in the community, we approach each day with an outward focus on how we can help others. We ...
  • 17 Days Ago

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DIRECTOR OF NURSING
  • PRIORITY MANAGEMENT
  • DECATUR, TX OTHER
  • Job Details Job Location: Decatur Medical Lodge - DECATUR, TX Salary Range: Undisclosed Job Shift: Day Director of NursingDirector of Nursing Come join an amazing team! Our care teams are true caregiv...
  • 3 Days Ago

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ADMISSIONS DIRECTOR
  • PRIORITY MANAGEMENT
  • BRIDGEPORT, TX OTHER
  • Job Details Job Location: Bridgeport Medical Lodge - BRIDGEPORT, TX Salary Range: Undisclosed Job Shift: Day ADMISSIONS DIRECTORWe put the care in healthcare. Our care teams are true caregivers. They ...
  • 7 Days Ago

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0 Utilization Management Director jobs found in Fort Worth, TX area

Fort Worth is located in North Texas, and has a generally humid subtropical climate. It is part of the Cross Timbers region; this region is a boundary between the more heavily forested eastern parts and the rolling hills and prairies of the central part. Specifically, the city is part of the Grand Prairie ecoregion within the Cross Timbers. According to the United States Census Bureau, the city has a total area of 349.2 square miles (904 km2), of which 342.2 square miles (886 km2) is land and 7.0 square miles (18 km2) is covered by water. It is a principal city in the Dallas–Fort Worth metropl...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Management Director jobs
$123,273 to $166,690
Fort Worth, Texas area prices
were up 2.2% 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