Utilization Management Director jobs in Montgomery, AL
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
Assistant Director Case Management & Utilization Review
- JACKSON HOSPITAL AND CLINIC
-
Montgomery, AL
FULL_TIME
-
- Support the Case Management Director and Utilization Review Program
- Monitors patient results, optimizing resource distribution and implementing continuing care plans to meet patients' post-discharge needs
- Utilizes chart review, electronic medical record, patient/family interviews, along with the medical group data
- Organizes plans and prioritizes caseload to optimize care coordination; prioritizes case management for individuals with higher risk factors
- Evaluates discharge planning needs on admission inspection
- Collaborates with patient/family, physicians, nurses, ancillary personnel and external agencies to develop safe, individualized, and appropriate continuing care plans
- Support Director in management a staff of 10-25 case managers and Utilization Review team members
- Support Director in Hiring, supervise and evaluate case management staff. Supervise a case management staff with diverse areas of expertise including job development;
- Work collaboratively with Intake and Outreach staff, Director of Programs to meet program goals and performance targets.
- Analyze program data and plan for program improvements;
- With support from Director of Programs, submit monthly reports with quantitative and qualitative information with support from Case management Director.
- Review/Audit of client files to ensure case management plans address identified needs, are up-to-date and that data quality is maintained;
- Ensure case management staff are regularly monitoring client activity related to achieving personal and programmatic goals, and providing corrective action revisions to case plans as needed
- Coordinate staff and scheduling and case management assignments;
- Attend program-related community, coalition and committee meetings
- Conduct or arrange for appropriate orientations, in-services, and training for program staff
- Mediate client grievances and facilitate case management/client issues
- Ensure that Case Managers continually monitor and evaluate each client’s progression through their case management plan, developing corrective action revisions to the plan as needed.
- Assist clients in obtaining necessary resources to achieve case management goals;
- Actively participate in client- and program-related meetings and trainings
- Attend program-related community, coalition and committee meetings as assigned;
- Maintain client related data systems, including case notes
- Prepare case management related reports including but not limited to: outcomes, successes, etc;
- Adheres to strict boundaries and professional ethics in the care of others; Conducts crisis intervention as needed
- Other requirements or duties as assigned
- Data Analytics
- Creating and evaluating reports
- Use of data analytics software
- 9 Days Ago
Knowledge Management Director
- Alutiiq
-
Remote in Billingsley, AL
FULL_TIME
- The Knowledge Management Director is the champion for organization-wide data collection, knowledge sharing, and systemic learning so that pertinent information and experiences are shared internally, a...
- 26 Days Ago
Social Services Director
- Arabella Healthcare Management
-
Selma, AL
FULL_TIME
- Arabella Health & Wellness of Selma, is looking to fill the Social Service Director position. We offer excellent wages, weekly pay, excellent benefits, and generous holiday pay. If this sounds like th...
- 8 Days Ago
Assistant Director of Nursing (ADON)
- Arabella Healthcare Management
-
Montgomery, AL
FULL_TIME
- Arabella Health & Wellness of Montgomery, is seeking a qualified Assistant Director of Nursing to join our team of caring professionals. We offer excellent wages, shift differentials, get paid weekly,...
- 1 Month Ago
Human Resources/Payroll Director
- Arabella Healthcare Management
-
Selma, AL
FULL_TIME
- Arabella Health & Wellness of Montgomery, is seeking a qualified Human Resources/Payroll Director. The Human Resources/ Payroll Director in long term care serves in a vital role in the overall success...
- 26 Days Ago
Director of Nursing (DON)
- Arabella Healthcare Management
-
Selma, AL
FULL_TIME
- Arabella Health & Wellness of Selma, is looking for a dynamic Director of Nursing. Would you like to help lead, shape, and grow with a group of dynamic individuals who all have the goal of making a di...
- 26 Days Ago
Filters
- Current Active Filter
- Montgomery, AL
Clear All
- Filter Jobs By posted time
- Within 1 Day
- Within 2-7
- Within 1 Month
- Within 3 Months
0 Utilization Management Director jobs found in Montgomery, AL area
Multiple Director Positions
- Chick-fil-A
-
Montgomery, AL
- Main Responsibilities of a Director Responsible for every aspect of everyday supervision of store outlets Responsible fo...
- 4/23/2024 12:00:00 AM
Director of Case Management
- Marvel Consultants
-
Montgomery, AL
- $10,000 Sign-on! Plus bonus incentive program! Community hospital part of a larger system looking to bring on a Director...
- 4/22/2024 12:00:00 AM
Case Management Director II
- Encompass Health
-
Montgomery, AL
- Sign on Bonus $10,000. 00 As a member of Senior Leadership, the Director of Case Management (DCM) is responsible for the...
- 4/21/2024 12:00:00 AM
Senior Cost/Operations Research Lead
- Air Force Civilian Service
-
Montgomery, AL
- Come be a part of something big! Smart Minds, Cool Jobs and Awesome Rewards! Fueled by innovation, talent and ambition, ...
- 4/21/2024 12:00:00 AM
Director of Business Development
- Cayuse Holdings
-
Montgomery, AL
- **Overview** The Business Development Director - Department of Defense (DOD) - Missions & Programs - Business Developmen...
- 4/20/2024 12:00:00 AM
Program Manager (Hotels)
- American Express Global Business Travel
-
Montgomery, AL
- Amex GBT is a place where colleagues find inspiration in travel as a force for good and through their work can make an i...
- 4/20/2024 12:00:00 AM
Director of Case Management
- Marvel Consultants
-
Montgomery, AL
- $10,000 Sign-on! Plus bonus incentive program! Community hospital part of a larger system looking to bring on a Director...
- 4/19/2024 12:00:00 AM
Senior Cost/Operations Research Lead
- Air Force Civilian Service
-
Montgomery, AL
- Come be a part of something big! Smart Minds, Cool Jobs and Awesome Rewards! Fueled by innovation, talent and ambition, ...
- 4/19/2024 12:00:00 AM
About Montgomery, Alabama
Montgomery is the capital city of the U.S. state of Alabama and the county seat of Montgomery County. Named for Richard Montgomery, it stands beside the Alabama River, on the coastal Plain of the Gulf of Mexico. In the 2010 Census, Montgomery's population was 205,764. It is the second most populous city in Alabama, after Birmingham, and is the 118th most populous in the United States. The Montgomery Metropolitan Statistical Area's population in 2010 was estimated at 374,536; it is the fourth largest in the state and 136th among United States metropolitan areas.
The city was incorporated in 18...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Management Director jobs
$112,388 to $151,972
Montgomery, Alabama area prices
were up 1.3% from a year ago
were up 1.3% from a year ago
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