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)
COME JOIN OUR AMAZING TEAM!
Priority Management Group’s vision is to be the preferred provider of care and employer of choice by exceeding the expectations of our residents and their families, creating an exceptional work environment for our staff and promoting excellence in our quality of services provided. We are looking for a Clinical Marketing Director to be a part of our incredible team who has the same vision.
As a Marketing Director, you must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public. Must be knowledgeable of nursing and medical practices and procedures as well as laws, regulations and guidelines pertaining to nursing facility admissions. Must possess the ability to work harmoniously with other personnel. Must possess the ability to plan, organize, develop, implement and interpret the programs, goals, objectives, policies, procedures, etc., that are necessary for maintaining a sound operation. Must be thoroughly familiar with the laws, regulations and guidelines governing the release of information. Must have patience, tact, cheerful disposition and enthusiasm. Must possess the ability to seek new methods and principles and be willing to incorporate them into existing practices. Must be able to maintain good personnel relations and employee morale. Must not pose a direct threat to the health or safety of other individuals in the workplace.
Education
A nursing degree, LPN or RN from an accredited college/university or equivalent.
Experience
Must possess a thorough knowledge of principles of effective communication, mass media, advertising, policies, education, community relations, demonstration, organization structure, social and activity services, government relations, etc., as they relate to nursing facility operations. Must possess the ability to plan, organize and effectively present ideals and concepts to community groups/agencies. Must possess the ability to communicate effectively, orally and in writing. Must possess the ability to assimilate information from a variety of sources, analyze information and make recommendations to the Administrator. Must possess the ability to establish, implement and maintain effective marketing and public relations program
Priority Management Group, LLC is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, genetic information, arrest record, or any other characteristic protected by applicable Federal, State or Local laws. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment. Management Group, LLC is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, genetic information, arrest record, or any other characteristic protected by applicable Federal, State or Local laws. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
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