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)
Close Date: 4/19/24
Overview
This position is responsible for planning and overseeing projects to ensure they are completed in a timely fashion and within budget. The successful candidate will plan and designate project resources, prepare roadmaps, drive progress, and keep stakeholders informed the entire way, while taking ownership and responsibility for the outcome of the project.
Responsibilities
Build and maintain strong relationships with stakeholders at all levels of the organization to ensure alignment and support for program objectives
Requirements:Education & Experience
0 Utilization Management Director jobs found in Ogden, UT area