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)
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.
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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.
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Supervisory Responsibility
This position may have supervisory responsibilities.
Qualifications:
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