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)
Social Work Professional ARRMC (Utilization Management)
Additional Position Details: FTE: 0.000001 | On Call | Hours will primarily fall within Monday-Friday 0800-1700
Clinical supervision available for Clinical Social Work Associates pursuing licensure.
Within the framework of social work values, knowledge and method, the Social Work Professional provides services to patients and their families in relation to social and emotional problems so that medical care is fully utilized, social and emotional functioning is enhanced, and quality of life is improved. Also participates in interdisciplinary and interagency collaboration and consultation.
Preferred Licensure
At Asante, you are the difference. Your personal happiness and well-being are reflected in the personal attention and quality of care we deliver every day. Here, you'll find an environment of mutual respect, camaraderie, learning and growth. A place where each voice is heard, and sound ideas are acted upon. A community in every sense, we collaborate widely across the organization to do what's best for our patients, united by a shared passion: to provide exceptional care that makes a positive impact on family, friends, neighbors and the community. Asante's culture, values and people create an environment of sustained medical excellence. All three Asante hospitals have earned five stars from CMS for overall quality - the top rating given. In fact, Asante accounts for three of the five Oregon hospitals to achieve this rare honor. For more on our story and award-winning health care, click HERE.
Asante is a local, community owned and governed, not-for-profit organization that provides comprehensive health care services to more than 550,000 people in a nine-county area of Southern Oregon and Northern California. It includes Asante Ashland Community Hospital in Ashland, Asante Rogue Regional Medical Center in Medford, Asante Three Rivers Medical Center in Grants Pass, Asante Physician Partners throughout the Rogue Valley, and additional health care partnerships. Virtually all medical specialties and services are represented within an organization dedicated to providing exceptional care. With over 5,000 employees, Asante's entities offer outstanding opportunities for career advancement and professional growth. At Asante, your work positively impacts your family, friends, neighbors, and the community. Experience the difference in how you work, how you live and how you connect.
At Asante we are defined by our values - traits that guide us as we serve patients and the community:
Excellence - Respect - Honesty - Service - Teamwork
Asante is an equal opportunity employer. We are committed to employ and advance in employment women, minorities, qualified individuals with disabilities and protected veterans.
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