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)
Our number one priority is to care for our Residents. We are looking for an experienced Director of Nursing to join or family of caregivers. As a DON, you will help develop a collaborative workplace with attention to quality care for our Residents. The DON is responsible for the daily functioning of health care needs of Residents as well as supervision of the nursing department.
Benefits:
*Some benefits may only be eligible to full-time team members
*Starting rates are higher depending on experience and position
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0 Utilization Management Director jobs found in Lynchburg, VA area