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)
A Dedicated Community Medical Center in Central Texas is looking for a Hospital HIM Director to join their staff. Apply today to join a high quality Health System and advance your career in Health Information Management.
The HIM Director will be joining a team of Patient-centered Healthcare professionals that provide full service acute care services, rural health care services, as well as a skilled nursing facility. This Health System has been serving the surrounding communities with care for 100 years.
The Health Information Management Director will be leading a highly-skilled team of HIM and coding specialists. They will be entrusted to oversee patient information along with ensuring that the patient’s right-to-privacy is protected and to ensure accurate coding of all patient encounters. The Health Information Management Director will manage the day to day work flow process while working across a multidisciplinary team. They are responsible for leading the development and maintenance of HIM policies and procedures.
Located centrally between Abilene, Waco, and the DFW area, the HIM Director will be able to enjoy the slowness of country living with multiple big cities a short distance away. Known for its low crime rate, the town is a great place to raise a family or to finish out your career in a forever home. This is the ideal location with an amazing hospital for the Health Information Management Director to pursue.
Ready and eager to extend a robust offer to a motivated compliance leader, this is an opportunity you don’t want to miss. Apply today!
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0 Utilization Management Director jobs found in Killeen, TX area