Utilization Management Director jobs in Raleigh, NC

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)

Y
Activities Director
  • YAD Management
  • Raleigh, NC FULL_TIME
  • Clayton Rehabilitation And Healthcare Center, located in Clayton, NC,  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. 

    Benefits:

    • EXCELLENT COMPETITIVE SALARY! 
    • AMAZING BENEFITS PACKAGE
    • PTO
    • EMPLOYEE DISCOUNTS
    • EMPLOYEE ACTIVITIES
    • SAME DAY PAY OPTION
    • ANNUAL RAISES

     

    NOW HIRING:
    Activities Director

     

    Summary/Objective
    In keeping with our organization’s goal of improving the lives of the Residents we serve, the Director of Activities is responsible for the planning, development and overall operation of the Activities Department which implements and directs activity programs that meet the physical, emotional, and psychosocial needs of Residents.

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

    1.       Responsible for the overall operations of the facility’s Activity Department which includes supervision of staff, development and implementation of departmental policy and procedures, and ensuring compliance with federal, state, local regulations.

    2.       Regularly develops new programs to meet new trends and industry standards.

    3.       Responsible for operating the Activities department within budgetary guidelines and limitations.

    4.       Observe and report Resident’s attendance, participation, and behavior changes by documenting and charting.

    5.       Participates in the care planning process by attending care plan meetings, providing specific information and observations of the Resident’s needs, preferences and report any behavioral changes.

    6.       Meet and great all new Residents and residents upon arrival to the facility.

    8.       Performs administrative tasks such as charting, care planning, reports and etc. Completes assigned MDS portions accurately and on time.

    9.       Assists with the recruitment and selection of Activity staff.

    1

    Supervisory Responsibility
    This position may have supervisory responsibilities.

     

    Qualifications:

    • Highschool Diploma/Equivalent
    • Be certified or eligible for certification as an activity director certified (ADC) by the National Certification Council for Activity Professionals or COTA
    • Activity Director Experience in a Long Term Care Setting

     

     

     

  • 16 Days Ago

Y
Activities Director
  • YAD Management
  • Clayton, NC FULL_TIME
  • Clayton Rehabilitation And Healthcare Center, located in Clayton, NC, is a Long Term Care facility that provides quality care to our residents. Join a growing team of successful, happy caregivers who ...
  • 16 Days Ago

Y
MDS Director
  • YAD Management
  • Hillsborough, NC FULL_TIME
  • UNDER NEW MANAGEMENT! Southpoint Rehabilitation and Healthcare Center, located in Southpoint, NC, is a Long Term Care facility that provides quality care to our residents. Join a growing team of succe...
  • Just Posted

Y
Activity Director
  • YAD Management
  • Roanoke, NC FULL_TIME
  • Emporia Rehabilitation And Healthcare Center, located in Emporia, VA, is a Long Term Care facility that provides quality care to our residents. Join a growing team of successful, happy caregivers who ...
  • Just Posted

Y
Director of Nursing
  • YAD Management
  • Smithfield, NC FULL_TIME
  • Goldsboro Rehabilitation And Healthcare Center, located in Goldsboro, NC, is a Long Term Care facility that provides quality care to our residents. Join a growing team of successful, happy caregivers ...
  • 11 Days Ago

Y
Director of Admissions
  • YAD Management
  • Williamston, NC FULL_TIME
  • Windsor Rehabilitation And Healthcare Center, located in Windsor, NC is a Long Term Care facility that provides quality care to our residents. Join a growing team of successful, happy caregivers who a...
  • 13 Days Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Utilization Management Director jobs found in Raleigh, NC area

R
Executive Assistant to Managing Director
  • Recovery Alliance Initiative
  • Chapel Hill, NC
  • Recovery Alliance Initiative of NC (RAI) Awareness. Collaboration. Advocacy. Action. Administrative Assistant to the Exe...
  • 4/24/2024 12:00:00 AM

F
Program Management Director
  • Fhi 360
  • Raleigh, NC
  • Program Management Director page is loaded Program Management Director Apply locations US-REMOTE-NC time type Full time ...
  • 4/24/2024 12:00:00 AM

R
Director Capital Management
  • RRC Solutions Group
  • Raleigh, NC
  • Our Client is hiring for a Director of Capital Management & Rating Agencies. As the Director of Capital Management & Rat...
  • 4/23/2024 12:00:00 AM

C
Director Talent Management
  • Cornerstone Building Brands
  • Cary, NC
  • Company Description Cornerstone Building Brands, headquartered in Cary, North Carolina, is the largest manufacturer of e...
  • 4/22/2024 12:00:00 AM

M
Director Asset Management
  • Morrow & Associates
  • Raleigh, NC
  • Our client is a well-capitalized, rapidly growing, commercial real estate investment firm that is focused on the acquisi...
  • 4/22/2024 12:00:00 AM

T
Tax Professionals - Senior, Supervisor, Manager, Director and Partner level - REMOTE / Great Work-li
  • Taurus Search
  • Raleigh, NC
  • Tax Professionals Wanted! ???? Are you a Tax Professional looking for a career that combines expertise with flexibility?...
  • 4/21/2024 12:00:00 AM

C
Director Talent Management
  • Cornerstone Building Brands
  • Cary, NC
  • Company Description Cornerstone Building Brands, headquartered in Cary, North Carolina, is the largest manufacturer of e...
  • 4/20/2024 12:00:00 AM

M
Director Asset Management
  • Morrow & Associates
  • Raleigh, NC
  • Our client is a well-capitalized, rapidly growing, commercial real estate investment firm that is focused on the acquisi...
  • 4/20/2024 12:00:00 AM

According to the United States Census Bureau, Raleigh occupies a total area of 144.0 square miles (373.0 km2), of which 142 square miles (369 km2) is land and 0.97 square miles (2.5 km2), or 0.76%, is covered by water. The Neuse River flows through the northeast end of the city. Raleigh is located in the northeast central region of North Carolina, where the Piedmont and Atlantic Coastal Plain regions meet. This area is known as the "fall line" because it marks the elevation inland at which waterfalls begin to appear in creeks and rivers. As a result, most of Raleigh features gently rolling hil...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Management Director jobs
$123,399 to $166,861
Raleigh, North Carolina area prices
were up 1.5% 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