Utilization Management Director jobs in Santa Fe, NM

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)

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Health Information Management Director
  • Clinical Management Consultants
  • Blanco, NM FULL_TIME
  • Calling all Health Information Management professionals looking to advance their career by joining an award winning hospital in Northwestern New Mexico. A reputable hospital within the state of New Mexico is looking for their next Health Information Management Director 

    The Health Information Management Director  will be leading a highly-skilled team of HIM and coding specialists. They will be entrusted to oversee patient information along with ensuring that the patient’s right-to-privacy is protected and to ensure accurate coding of all patient encounters. The Health Information Management Director will manage the day to day work flow process while working across a multidisciplinary team. They are responsible for leading the development and maintenance of HIM policies and procedures. 

    The Health Information Management Director  will be joining a hospital that houses  150 licensed beds, that has been serving its community with the most patient-care centered services for over 100 years.Health Information Management Director  will be joining a Level III Trauma Center that has earned a number of prestigious awards as seen with Primary PCI Chest Pain Center Accreditation, their Quest for Excellence Award, and their New Mexico Performance Excellence Award to name a few.

    Not only will the Health Information Management Director  be leading a highly skilled team with one of the most sought-after medical centers in the state of New Mexico, but they’ll also be living in an award-winning location. This city has been recognized as a 2021 Top Place to Live by U.S. News & World for this city’s low cost of living, gorgeous scenery, and its proximity to amazing entertainment. This is the ideal location with an amazing hospital for the Health Information Management Director to pursue. 

    Ready and eager to extend a robust offer to a motivated compliance leader, this is an opportunity you don’t want to miss. Apply today!




    About the Company:
    Clinical Management Consultants



  • 7 Days Ago

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Health Information Management Director
  • Clinical Management Consultants
  • Blanco, NM FULL_TIME
  • Calling all Health Information Management professionals looking to advance their career by joining an award winning hospital in Northwestern New Mexico. A reputable hospital within the state of New Me...
  • 7 Days Ago

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Assistant F&B Director
  • Assistant Director of Food & Beverage
  • Santa Fe, NM FULL_TIME
  • Job summary -Responsible for the management and successful operation of all aspects of the outlet functions, in accordance with hotel standards. Directs, implements and maintains a service and managem...
  • 8 Days Ago

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Growth Management Department Director
  • Santa Fe County
  • Santa Fe, NM FULL_TIME
  • JOB Directs and manages the operations of the Santa Fe County Growth Management Department (Department), which currently consists of the Building and Development Services Division (including Code Enfo...
  • 19 Days Ago

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Care Management Director
  • Holy Cross Medical Center
  • Taos, NM FULL_TIME
  • Responsible and accountable for clinical and financial operations of the Care Management system. The Director provides hospital-wide leadership through effective managerial and educational direction i...
  • 9 Days Ago

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Director of Oncology
  • Clinical Management Consultants
  • Flora Vista, NM FULL_TIME
  • A wonderful new opportunity has become available for an Oncology Director at an acute care hospital outside of Kirtland, New Mexico. This hospital specifically has 240 patient beds, as well as a highl...
  • 19 Days Ago

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0 Utilization Management Director jobs found in Santa Fe, NM area

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Clinical Nurse (RN) MED Surg / Full-Time
  • Christus Health
  • Santa fe, NM
  • Description Please enter info here Requirements EDUCATION: Graduate of an accredited program for Registered Nursing. CER...
  • 4/25/2024 12:00:00 AM

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Cardio Procedural Nurse / Cardiac Function / Part-Time
  • Christus Health
  • Santa fe, NM
  • Description EDUCATION: High school diploma or equivalent. Successful completion of Basic Dysrhythmias courses required w...
  • 4/24/2024 12:00:00 AM

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Non-Certified Monitor Tech Telemetry/ Full-Time
  • Christus Health
  • Santa fe, NM
  • Description POSITION SUMMARY: Assists nursing staff by transcribing physician's orders during emergent situations. Conti...
  • 4/24/2024 12:00:00 AM

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Non-Certified Monitor Tech Telemetry/ Full-Time
  • Christus Health
  • Santa fe, NM
  • Description POSITION SUMMARY: Assists nursing staff by transcribing physician's orders during emergent situations. Conti...
  • 4/24/2024 12:00:00 AM

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Clinical Nurse (RN) ED /PER Diem
  • Christus Health
  • Santa fe, NM
  • Description Please enter info here Requirements MINIMUM QUALIFICATIONS: EDUCATION: Graduate of an accredited program for...
  • 4/24/2024 12:00:00 AM

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Cardio Procedural Nurse / Cardiac Function / Part-time
  • CHRISTUS Health
  • Santa fe, NM
  • Description EDUCATION: High school diploma or equivalent. Successful completion of Basic Dysrhythmias courses required w...
  • 4/24/2024 12:00:00 AM

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Non-Certified Monitor Tech ED/ PER Diem
  • Christus Health
  • Santa fe, NM
  • Description POSITION SUMMARY: Assists nursing staff by transcribing physician's orders during emergent situations. Conti...
  • 4/23/2024 12:00:00 AM

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Clinical Nurse (RN) Inpatient Rehab/ Full-Time
  • Christus Health
  • Santa fe, NM
  • Description Please enter info here Requirements MINIMUM QUALIFICATIONS: EDUCATION: Graduate of an accredited program for...
  • 4/23/2024 12:00:00 AM

Santa Fe (/ˌsæntəˈfeɪ/ or /ˈsæntəˌfeɪ/; Tewa: Oghá P'o'oge, Navajo: Yootó) is the capital of the U.S. state of New Mexico. It is the fourth-largest city in the state and the seat of Santa Fe County. This area was occupied for at least several thousand years by indigenous peoples who built villages several hundred years ago, on the current site of the city. It was known by the Tewa inhabitants as Ogha Po'oge ("White Shell Water Place"). The city of Santa Fe, founded by Spanish colonists in 1610, is the oldest state capital in the United States. Santa Fe (meaning "holy faith" in Spanish) had a p...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Management Director jobs
$119,602 to $161,727
Santa Fe, New Mexico area prices
were up 2.5% 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