Utilization Management Director jobs in Pascagoula, MS
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
- Singing River Health System
-
Pascagoula, MS
FULL_TIME
-
Outpatient Case Management LPN
Singing River Health System Hospital - Pascagoula | Full-Time | Monday-Friday, 0800-1630, rotating weekends/holidays |
2809 Denny Avenue
Pascagoula, Mississippi, 39581
United StatesPosition Overview:
The Outpatient Case Management Nurse position will coordinate the interdisciplinary plan of care for the non-hospitalized population (multi-visit patients, TCM, addressing SDOH) for SRHS service area. Acts as a liaison between the patient/family and healthcare personnel to ensure all necessary care is provided and promotes quality, cost effective care and patient outcomes. Must be able to rely on experience and judgment to plan and accomplish goals and perform a variety of tasks with a certain degree of creativity and latitude.DISCLAIMER: This is not necessarily an exhaustive list of all responsibilities, duties, skills, efforts, requirements or working conditions associated with the job. While this intends to be an accurate reflection of the current job, management reserves the right to revise the job or to require that other or different tasks performed as assigned.
Education:
Must be a graduate of an accredited School of Nursing.
License:
Currently Licensed to practice in the State of Mississippi as a nurse, License must be free of any encumbrances.
Certifications:
N/A
Experience:
Required: Must have (2) or more years direct patient care experience or clinic experience.
Preferred: Experience with Case Management.
Reports to:
Director of Case Management
Supervises:
N/A
Physical Demands:
Work is moderately active: involves sitting with frequent requirements to move about the office, move about the facility, and to travel to another facility within the SRHS service area. Work involves exerting a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects, including the human body.
Work involves using many physical motions in performing daily work activities; subject to exposure of body fluids, sputum and tissues, which may carry the hazard of infectious disease. Work involves using repetitive motions: substantial movements of the wrists, hands, and or fingers while operating standard office equipment such as computer keyboard.
Work involves being able to perceive the nature of sound at normal speaking levels with or without correction; the ability to make fine discriminations in sound. Work requires close visual and acuity and the ability to adjust the eye to bring an object into sharp focus, i.e. shift gaze from viewing a computer monitor to forms/printed material that are closer to compare data at close vision.
Must be able to be active for extended periods of time without experiencing undue fatigue. Must be able to work schedules assigned with the understanding that changes may be instituted according to the needs of the hospital for off days, shifts or weekends.
Mental Demands:
Must demonstrate keen mental faculties/assessment and decision making abilities. Must demonstrate superior communication/speaking/enunciation skills to receive and give information in person and by telephone. Must demonstrate strong written and verbal communication skills. Must possess emotional stability conducive to dealing with high stress levels. Must demonstrate ability to work under pressure and meet deadlines.
Attention to detail and the ability to multi-task in complex situations is required. Must have the ability to maintain collaborative and respectable working relationships throughout SRHS and other organizations.
Special Demands:
Must possess superior customer service skills and professional etiquette. Must possess proficient knowledge and ability to use a computer (must be keyboard proficient) and other office technology (i.e., telephone, fax, etc.), MS Outlook and Word.
Must be able to demonstrate appropriate clinical judgment and apply appropriate professional skills to a patient population of all ages.
- Just Posted
- Express Oil Change & Tire Engineers
-
Petal, MS
FULL_TIME
- Company DescriptionExpress Oil Change & Tire Engineers is one of the leading automotive service providers in the nation with over 300 locations across 19 states. We employ experienced, certified techn...
- 6 Days Ago
- R&P Technologies, LLC
-
Pascagoula, MS
FULL_TIME
- Overview R&P is looking for a motivated individual who wants to join our team. We are a small-sized defense contractor providing Engineering, Logistics, Program Management and Technical Services to go...
- 10 Days Ago
- MERCHANTS & MARINE BANK
-
Pascagoula, MS
OTHER
- Job Details Job Location: Pascagoula Main Branch - Pascagoula, MS Position Type: Full Time Education Level: 4 Year Degree Salary Range: Undisclosed Job Category: Banking DescriptionOverview Join our d...
- 23 Days Ago
- Merchants & Marine Bank
-
Pascagoula, MS
FULL_TIME
- Overview Join our dynamic team at Merchants & Marine Bank, a leading financial institution dedicated to providing exceptional services to our clients. We are committed to fostering a collaborative env...
- 29 Days Ago
- US Naval Sea Systems Command
-
Pascagoula, MS
FULL_TIME
- Duties You will serve as an analyst, advisor, and senior consultant for all aspects of the command's strategic planning functions. You will coordinate the planning, training, and implementation effort...
- 1 Month Ago
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0 Utilization Management Director jobs found in Pascagoula, MS area
- UMMC - Recruitment
-
Biloxi, MS
- Director of Operations and Business Development - UP Pediatrics To provide leadership and direction for operations and b...
- 4/22/2024 12:00:00 AM
- Insight Global
-
Biloxi, MS
- Pay Rate ST $150,000-180,000 Location: Keesler Air Force Base, MS (Onsite) - Biloxi, MS Keywords: Must Haves Bachelors d...
- 4/22/2024 12:00:00 AM
- Airbus
-
Mobile, AL
- Airbus is committed to providing reasonable accommodations as an Equal Opportunity Employer to applicants with disabilit...
- 4/22/2024 12:00:00 AM
- Alabama Department Of Education
-
Mobile, AL
- Administrative - Assistant Principal - Middle/Junior High SchoolJob Number 2300258714Start DateOpen Date 02/10/2023Closi...
- 4/22/2024 12:00:00 AM
- Mscoastchamber
-
Gulfport, MS
- **ReStore Manager Habitat for Humanity of the MS Gulf Coast Gulfport, MS** **Job Description:** ReStore Manager Habitat ...
- 4/22/2024 12:00:00 AM
- Camping World
-
Biloxi, MS
- Job Description Camping World Holdings, Inc., headquartered in Lincolnshire, IL, (together with its subsidiaries) is Ame...
- 4/21/2024 12:00:00 AM
- Austal USA
-
Mobile, AL
- REPORTS TO: Sr. Procurement Manager-Tactical SUPERVISES: N/A GENERAL PURPOSE AND SCOPE: Assure continuous availability o...
- 4/20/2024 12:00:00 AM
- Insight Global
-
Biloxi, MS
- Pay Rate ST $150,000-180,000 Location: Keesler Air Force Base, MS (Onsite) - Biloxi, MS Keywords: Must Haves - Bachelor’...
- 4/19/2024 12:00:00 AM
About Pascagoula, Mississippi
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