Utilization Management Director jobs in Newport News, VA

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)

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Director of Social Services
  • YAD Management
  • Suffolk, VA FULL_TIME
  • Courtland Rehabilitation And Healthcare Center, located in Courtland, VA, is a Long Term Care facility that provides quality care to our residents. Join a growing team of successful, happy caregivers who are valued and appreciated. 

     

    NOW HIRING:
    Director of Social Services

     

    Benefits:

    • New added bonuses and perks!
    • PTO!
    • Paid orientation!
    • Very supportive management!
    • Health insurance!
    • Dental insurance!
    • Vision insurance!
    • 401 (k)!
    • Employee discounts!
    • Same day pay option!
    • Employee Engagement program!
    • Staff appreciation lunches and giveouts!
    • Company Swag!
    • Annual raises!
    • Opportunities for advancement!
    • University partner, offering tuition assistance to staff and dependants!
    •  

    Summary/Objective
    In keeping with our organization’s goal of improving the lives of the Residents we serve, the Director of Social Services manages the day-to-day operations of the Social Services Department and responsible for the overall administration, coordination, and evaluation of the social services function to meet and maintain the mental and psychosocial well-being for each Resident.

    Essential Functions
    Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    1.       Responsible for keeping up-to-date evaluation documentation on each Resident’s activities at the facility which complies with Federal, State, and Local regulations.

    2.       Attends scheduled care conferences and identifies and interprets psychosocial needs of Residents for inclusion in the care plan, addressing in particular issues of schedule, treatment and environment that express and reinforce individuality and identity.

    3.       Assists with the coordination, intake, admission, and Resident transfer within the facility. 

    4.       Coordinates the inspection of Resident’s belongings to ensure they are properly labeled and inventoried.

    5.       Attends Interdisciplinary Team and Unit Care conferences, Assesses Residents for psychosocial groups, and supervises implementation and documentation.

    6.       Mediates issues that arise among Residents, families, and staff.

    7.       Provides linkage with appropriate community resources by maintaining knowledge of other systems, making referrals, and identifying unmet needs (e.g., recreational transportation, adaptive phone equipment, etc.)

    8.       Develops a comprehensive discharge plan in collaboration with Residents, Residents' families, multidisciplinary staff, and referral agencies.

    9.       Provides informal counseling when needed to uncover any problems which might interfere with the Residents’ socialization and participation in activities.

    10.   Establishes, develops, maintains and updates filing system for the Social Services Department.

    11.   Responsible for operating the Social Services Department within budgetary guidelines and limitations.

    12.   Completes annual performance reviews of all subordinate staff.  Provides guidance and education to staff in regards to their performance.

    13.   Provides counseling and disciplinary action to subordinate staff members as needed.

    14.   Responsible for training and educating staff members.

    15.   Reports all hazardous conditions, damaged equipment and supply issues to appropriate persons.

    16.   Follows established safety precautions when preforming tasks and using equipment and supplies.

    17.   Maintains the comfort, privacy and dignity of Residents and interacts with them in a manner that displays warmth, respect and promotes a caring environment.

    18.   Communicates and interacts effectively and tactfully with Residents, visitors, families, peers and supervisors.

    19.   Answers and respond to call lights promptly and courteously when working in Resident care areas.

    20.   Attend and participate in departmental meetings and in-services as directed.

    Supervisory Responsibility
    This position supervises the Social Worker and other subordinate staff.

     

    Required Education and Experience

    ·         Bachelor’s degree in social work or similar field.

    ·         Two years’ experience in a social worker role, preferably in a health care setting.

     

     

     

     

    #CRT2023

     

  • 1 Month Ago

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Director of Property Management and Construction
  • Garrett Realty Partners
  • Newport, VA FULL_TIME
  • Responsibilities: As Director of Property Management and Construction at Property Management by Garrett, you must be a growth-oriented individual with the ability to obtain new property management lan...
  • 11 Days Ago

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Facility Director
  • Eastern Sports Management
  • Hampton, VA FULL_TIME
  • There’s So Much Fun in Store! Set to open summer 2022, adjacent to the Hampton Roads Convention Center and Hampton Coliseum, this state-of-the-art facility is the largest of its kind in Virginia. Purp...
  • 1 Day Ago

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Surgical Services Nurse Director
  • Clinical Management Consultants
  • Suffolk, VA FULL_TIME
  • Are you a passionate health care professional who wants to play an integral role in leading a team towards the highest level of nursing excellence? Our award winning hospital located in the greater No...
  • Just Posted

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Administrative Director Surgical Services
  • Clinical Management Consultants
  • Suffolk, VA FULL_TIME
  • Are you ready to elevate your career in healthcare management? A renowned healthcare system is seeking a dynamic and experienced individual to join their team as the Administrative Director of Surgica...
  • 1 Day Ago

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Perioperative Nursing Director
  • Clinical Management Consultants
  • Smithfield, VA FULL_TIME
  • A leading healthcare organization in Southeastern Virginia is looking for an experienced Nurse Leader to become their Surgical Services Nurse Director. This is an exciting opportunity that has just be...
  • 2 Months Ago

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0 Utilization Management Director jobs found in Newport News, VA area

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General Manager, Customer Support
  • Liebherr
  • Newport News, VA
  • The General Manager, Customer Support, directs and coordinates the activities of the Customer Support & Parts Business o...
  • 4/26/2024 12:00:00 AM

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Administrative Assistant
  • ASM Global
  • Hampton, VA
  • POSITION: Administrative Assistant DEPARTMENT: Sales and Marketing REPORTS TO: Director of Sales FLSA: Hourly Non-Exempt...
  • 4/25/2024 12:00:00 AM

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Family Nurse Practitioner FNP
  • MedCare Staffing, Inc.
  • Virginia Beach, VA
  • Job Description Job Description Medcare Staffing is seeking a Nurse Practitioner or Physician Assistant to join a growin...
  • 4/24/2024 12:00:00 AM

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Insurance Representative
  • Transamerica Premier Life Insurance Company
  • Hampton, VA
  • The Insurance Representative is directly responsible for writing new quality business, conserving existing business, pro...
  • 4/24/2024 12:00:00 AM

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RN - C/C Clinical Care Leader (Emergency Department)
  • Childrens Hospital of The Kings Daughters
  • Norfolk, VA
  • GENERAL SUMMARY The RN- Clinical Care Leader is responsible for developing and sustaining an environment that promotes e...
  • 4/24/2024 12:00:00 AM

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Director for Management, Analysis & Planning
  • City Of New York
  • Suffolk, VA
  • The NYC Department of Probation (DOP) is a world leader in working creatively and effectively engaging with people under...
  • 4/23/2024 12:00:00 AM

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Certified Medical Assistant
  • ALLERGY PARTNERS
  • Newport News, VA
  • Job Details Job Location 43-01-Newport News - Newport News, VA Description JOB SUMMARY: coordinates patient care with ph...
  • 4/23/2024 12:00:00 AM

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Assistant Director - Management and Operations
  • City Of New York
  • Suffolk, VA
  • TASK FORCE: Management & Operations UnitJOB TITLE: One (1) Assistant Director of Management and OperationsCONTROL CODE: ...
  • 4/23/2024 12:00:00 AM

Newport News is located at 37°4′15″N 76°29′4″W / 37.07083°N 76.48444°W / 37.07083; -76.48444 (37.071046, −76.484557). According to the United States Census Bureau, the city has a total area of 120 square miles (310 km2), of which 69 square miles (180 km2) is land and 51 square miles (130 km2) (42.4%) is water. The city is located at the Peninsula side of Hampton Roads in the Tidewater region of Virginia, bordering the Atlantic Ocean. The Hampton Roads Metropolitan Statistical Area (officially known as the Virginia Beach-Norfolk-Newport News, VA-NC MSA) is the 37th largest in the nation with...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Management Director jobs
$119,855 to $162,069
Newport News, Virginia area prices
were up 1.2% from a year ago

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