Utilization Management Director jobs in Milwaukee, WI

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)

Recently Added Utilization Management Director jobs

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Executive Director, CSRO
  • Executive Director, Inc.
  • Milwaukee, WI FULL_TIME
  • Executive Director
     
    CLIENT ASSOCIATION: Coalition of State Rheumatology Organizations, CSRO
    POSITION(S) REPORTS TO: EDI Consulting Partner
    POSITION(S) THAT REPORT TO YOU: Administrative/Meeting Manager, Communications/Membership Manager
    EXEMPT/NON-EXEMPT EMPLOYEE STATUS: Exempt (Minimum of 37.5 hours per week)

    GENERAL SUMMARY:
    Closely monitors association activities and provides important decision-making information to association leadership. Provides professional direction and support for all client activities, projects, meetings and campaigns.

    POSITION RESPONSIBILITIES (Minimum of 37.5 hours per week):
    • Manage the grant/fundraising development for CSRO.
    • Oversee implementation of strategic goals as directed by Board president.
    • Oversee legal responsibilities of the organization (taxes, bylaws, contracts, etc.).
    • Oversee financial activities, including payment of invoices, budget preparation, monthly financial records, annual audit, etc.
    • Supervise day-to-day administrative and operational functions of the association.
    • Oversee development and publication printed materials and other communications (broadcast emails, faxes, mail, etc.) to members.
    • Oversee committee infrastructure and activities.
    • Oversee maintenance and updates of the client website.
    • Coordinate agendas and other materials for Board meetings and conference calls.
    • Attend and facilitate in-person Board meetings.
    • Attend and facilitate committee conference calls.
    • Take and distribute minutes of Board and committee meetings and conference calls.
    • Attend the Rheumatology Fellows education meeting and provide support and staff oversight for all related functions.
    • Represent CSRO at related meetings when appropriate.
    • Other duties as assigned.

    AMOUNT OF TRAVEL REQUIRED:
    Approximately 15 days per year.

    EDUCATION/EXPERIENCE REQUIRED:
    Bachelor’s degree or professional experience in a related field and excellent written and verbal skills.

    PHYSICAL REQUIREMENTS:
    (lifting, packaging, etc.) Minimal lifting required. Ability to move quickly within meeting facilities.
     
     
    *This position is located in downtown Milwaukee, WI and a minimum of two days onsite in the office (including Wednesday as an all-staff-in-office day) are a requirement of the role.
     
    *Please apply to the role that best aligns to your experience and qualifications.  We’ll discuss your interests and possible opportunities during an initial phone interview. (No need to apply to multiple opportunities.)

  • 1 Day Ago
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Director, Research & Training Division and AAAAIF Foundation, AAAAI
  • Executive Director, Inc.
  • Milwaukee, WI FULL_TIME
  • Director, Research & Training Division and AAAAI Foundation ASSOCIATION: American Academy of Allergy, Asthma & Immunology (AAAAI) REPORTS TO: Executive Director DIRECT REPORTS: Development Manager, Pr...
  • 5 Days Ago
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Senior Scientific Programs Manager, MDS
  • Executive Director, Inc.
  • Milwaukee, WI FULL_TIME
  • Senior Scientific Programs Manager CLIENT ASSOCIATION: International Parkinson and Movement Disorder Society, MDS POSITION(S) REPORTS TO: Director of Scientific Programs, MDS POSITION(S) THAT REPORT T...
  • 22 Days Ago
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Program Manager, General Education, SITC
  • Executive Director, Inc.
  • Milwaukee, WI FULL_TIME
  • Program Manager CLIENT ASSOCIATION: Society for Immunotherapy of Cancer REPORTS TO: Senior Program Manager DIRECT REPORTS: None STATUS: Exempt (Minimum of 37.5 hours/week) GENERAL SUMMARY The Society ...
  • 2 Days Ago
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Program Manager, Live and Online Education, SITC
  • Executive Director, Inc.
  • Milwaukee, WI FULL_TIME
  • Program Manager CLIENT ASSOCIATION: Society for Immunotherapy of Cancer REPORTS TO: Senior Program Manager DIRECT REPORTS: None EXEMPT/NON-EXEMPT EMPLOYEE STATUS: Exempt (Minimum of 37.5 hours/week) G...
  • 2 Days Ago
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Salesforce Technical Manager, EDI
  • Executive Director, Inc.
  • Milwaukee, WI FULL_TIME
  • Salesforce Technical Manager CLIENT ASSOCIATION: EDI/All Clients POSITION(S) REPORTS TO: Director of Web Services POSITION(S) THAT REPORT TO YOU: N/A EXEMPT/NON-EXEMPT EMPLOYEE STATUS: Exempt (Minimum...
  • 3 Days Ago
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0 Utilization Management Director jobs found in Milwaukee, WI area

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Chief Operating Officer
  • Confidential Executive Jobs
  • Milwaukee, WI
  • CHIEF OPERATIONS OFFICER This is managing a team of around 20 FTE and growing. This is great for a seasoned manager/dire...
  • 4/26/2024 12:00:00 AM
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Director Solutions Consulting - IntelliScript (Remote)
  • Milliman
  • Brookfield, WI
  • What We Do Milliman IntelliScript is a group of a few hundred experts in fields ranging from actuarial science to inform...
  • 4/25/2024 12:00:00 AM
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Managing Director- Enterprise Compliance Testing
  • Bmo Financial Group
  • Milwaukee, WI
  • BMO Financial Group Managing Director- Enterprise Compliance Testing Milwaukee , Wisconsin Apply Now Please Note : This ...
  • 4/24/2024 12:00:00 AM
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Director Product Management Hvac
  • Rite-hite Holding Corp
  • Milwaukee, WI
  • JOB REQUIREMENTS:Job Category: Sales, Marketing & Product ManagementSchedule: Full timeJob Description:PURPOSE AND SCOPE...
  • 4/24/2024 12:00:00 AM
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Director Product Management Doors
  • Rite-hite Holding Corp
  • Milwaukee, WI
  • RITE-HITE HOLDING CORP Director Product Management Doors MILWAUKEE , Wisconsin Apply Now JOB REQUIREMENTS: Job Category:...
  • 4/24/2024 12:00:00 AM
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Chief Operating Officer
  • Confidential Executive Jobs
  • Milwaukee, WI
  • CHIEF OPERATIONS OFFICER This is managing a team of around 20 FTE and growing. This is great for a seasoned manager/dire...
  • 4/23/2024 12:00:00 AM
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Business Development Rep
  • MSC Industrial Supply Co
  • Milwaukee, WI
  • Build a better career with MSC. Serving customer and community starts with the very best people doing their very best wo...
  • 4/22/2024 12:00:00 AM
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Business Development Rep
  • MSC Industrial Direct Co., Inc.
  • Milwaukee, WI
  • Build a better career with MSC. Serving customer and community starts with the very best people doing their very best wo...
  • 4/22/2024 12:00:00 AM
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About Milwaukee, Wisconsin

Milwaukee lies along the shores and bluffs of Lake Michigan at the confluence of three rivers: the Menomonee, the Kinnickinnic, and the Milwaukee. Smaller rivers, such as the Root River and Lincoln Creek, also flow through the city. Milwaukee's terrain is sculpted by the glacier path and includes steep bluffs along Lake Michigan that begin about a mile (1.6 km) north of downtown. In addition, 30 miles (48 km) southwest of Milwaukee is the Kettle Moraine and lake country that provides an industrial landscape combined with inland lakes. According to the United States Census Bureau, the city has ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Management Director jobs
$125,804 to $170,112
Milwaukee, Wisconsin area prices
were up 1.8% from a year ago
View detail

What does a Utilization Management Director do?

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