Utilization Management Director jobs in San Antonio, TX
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
- Windmill Wellness Ranch LLC
-
Canyon, TX
FULL_TIME
-
Windmill Wellness opened the Ranch in May of 2017. We are nestled in the Texas Hill Country and are sitting on 76 acres. The mission of Windmill Wellness Ranch Is to improve the physical, spiritual and emotional health of the individual and their family through and integrated healing system using the latest technology and research. Windmill Wellness Ranch is a co-occurring inpatient and outpatient treatment center specializing in trauma therapies, substance use disorders and mental health. WWR has the highest outcomes in the nation, as measured by a third-party scientific firm, Trac9.
WWR has been recognized as one of the top workplaces by the San Antonio Express News.
Qualifications:
- Minimum 1-2 years utilization review experience in substance abuse preferred.
The Utilization Management Specialist will determine if authorization is necessary for the services that are needed and obtain such authorization for behavioral health services on an on-going basis. Conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Audits medical record data to ensure compliance and justify treatment or length of stay. Reports and maintains documentation regarding patient continued treatment, stay or care.
Job Type: Full-time
Benefits:
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Healthcare setting:
- Rehabilitation center
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Experience:
- Utilization review: 1 year (Preferred)
Work Location: In person
- 1 Month Ago
- UHS
-
SAN ANTONIO, TX
FULL_TIME
- Responsibilities Position Summary: The Utilization Management Supervisor is responsible for planning, organizing, and managing daily operations of the Utilization Management team. The Supervisor dutie...
- 8 Days Ago
- UHS
-
SAN ANTONIO, TX
FULL_TIME
- Responsibilities Position Summary: The Utilization Management Supervisor is responsible for planning, organizing, and managing daily operations of the Utilization Management team. The Supervisor dutie...
- 8 Days Ago
- Confidential
-
San Antonio, TX
FULL_TIME
- We are looking for a full time Director of Case Management Our Director of Case Management will lead our Case Management team. They are responsible for continuous improvement, and overall maintenance ...
- Just Posted
- Methodist Hospital Atascosa
-
Jourdanton, TX
FULL_TIME
- This position is incentive eligible. Introduction Do you have the career opportunities as a Director Facilities Management you want with your current employer? We have an exciting opportunity for you ...
- 1 Day Ago
- BairesDev
-
San Antonio, TX
FULL_TIME
- We are looking for a Director of Account Management to join the Management team and lead different projects made up of multicultural teams distributed throughout the world. We are looking for proactiv...
- 16 Days Ago
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0 Utilization Management Director jobs found in San Antonio, TX area
- Taurus Search
-
San Antonio, TX
- Tax Professionals Wanted! ???? Are you a Tax Professional looking for a career that combines expertise with flexibility?...
- 4/26/2024 12:00:00 AM
- LPA, Inc.
-
San Antonio, TX
- LPA is seeking a passionate Project Designer to join our integrated team of architects, engineers, interior designers, l...
- 4/26/2024 12:00:00 AM
- Consult Energy USA
-
San Antonio, TX
- Director of Policy & Regulatory Affairs | Eastern US, REMOTE |$165k - $175k base + bonus Are you a regulatory affairs an...
- 4/25/2024 12:00:00 AM
- Evry Health
-
San Antonio, TX
- About the Role Evry Health is hiring a tech-savvy Medical Director to lead medical policy and utilization management. As...
- 4/24/2024 12:00:00 AM
- Christus Health
-
New Braunfels, TX
- Description Summary: This position oversees the daily management of the Care Management Department. The position is resp...
- 4/23/2024 12:00:00 AM
- Confidential
-
San Antonio, TX
- Managing Director, ELA Instructional ExcellenceAbout the CompanyWell-established network of public schoolsIndustryPrimar...
- 4/23/2024 12:00:00 AM
- Confidential
-
San Antonio, TX
- Managing Director, Math Instructional ExcellenceAbout the CompanyWell-established network of public schoolsIndustryPrima...
- 4/23/2024 12:00:00 AM
- San Antonio Alternative Housing Cor
-
San Antonio, TX
- Job Description Job Description GENERAL DUTIES: The Maintenance Position supports the efforts of Asset Management Depart...
- 4/22/2024 12:00:00 AM
About San Antonio, Texas
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