Utilization Management Director jobs in Sumter, SC

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

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Labor and Delivery Nurse Director
  • Clinical Management Consultants
  • Andrews, SC FULL_TIME

  • A top-notch hospital is actively interviewing for a Women and Children's Services RN Director to lead this robust service line. This is a wonderful opportunity for an experienced Labor and Delivery Nurse Director is now available with a well-regarded hospital in popular South Carolina.

    This nonprofit community hospital has 200 beds and has been awarded for top clinical metrics for many specialty departments including Orthopedics and Surgical Services.

    The Labor and Delivery Nurse Director will oversee nursing and operations for this Baby Friendly-designated unit performing 1,500 deliveries annually and the Level 2 Nursery. The Women and Children's Services RN Director is responsible for managing budgetary operations, professional development efforts, and for shaping the long-term growth of the service line. The Labor and Delivery Nurse Director will use their comprehensive clinical and professional expertise to lead evidence-based initiatives. This is an excellent opportunity for a skilled Women and Children's Services RN Director to be an influential change agent with a fantastic hospital.

    Located in the temperate climate and beautiful countryside South Carolina is known for, the Labor and Delivery Nurse Director will have a healthy work-life balance in this relaxing area. This region is home to gorgeous walking paths along the river, lively community events, top-notch golf courses, and an active sports complex. With affordable housing, safe neighborhoods, and outdoor adventure options, this is a wonderful area to plant one’s roots.

    This high-quality facility will move quickly to interview a Nurse Director of Women and Children's and offers competitive compensation with a full suite of benefits. Explore this opportunity today!

  • 19 Days Ago
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Women and Children's Services RN Director
  • Clinical Management Consultants
  • Andrews, SC FULL_TIME
  • A top-notch hospital is actively interviewing for a Women and Children's Services RN Director to lead this robust service line. This is a wonderful opportunity for an experienced Labor and Delivery Nu...
  • 1 Month Ago
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Knowledge Management (KM) and Task Management Tool Specialist
  • UIC Alaska
  • Sumter, SC FULL_TIME
  • Overview KNOWLEDGE MANAGEMENT/TASK MANAGEMENT TOOL SPECIALIST (AFMDS): Bowhead is seeking a Knowledge Management (KM) and Task Management Tool Specialist at Shaw AFB, SC to support 15th Air Force in a...
  • 1 Month Ago
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Knowledge Management (KM) and Task Management Tool Specialist
  • Bowhead
  • Sumter, SC FULL_TIME
  • Overview KNOWLEDGE MANAGEMENT/TASK MANAGEMENT TOOL SPECIALIST (AFMDS): Bowhead is seeking a Knowledge Management (KM) and Task Management Tool Specialist at Shaw AFB, SC to support 15th Air Force in a...
  • 1 Month Ago
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Convenience site worker
  • Waste Management
  • Manning, SC FULL_TIME
  • What is the value of a WM job? The value of a WM job is more than a paycheck. It’s a way to create opportunities for you and your family. We Are Stable : Our WM team is home every day, and our team me...
  • 25 Days Ago
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C4 Planning Management
  • Govcio LLC
  • Shaw, SC FULL_TIME
  • Overview GovCIO is currently hiring for a C-4 Planning Management. This position will be located in Shaw AFB, SC and will be an on-site position. Responsibilities Provide C4 planning management suppor...
  • 17 Days Ago
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0 Utilization Management Director jobs found in Sumter, SC area

About Sumter, South Carolina

Sumter /ˈsʌmtər/ is a city in and the county seat of Sumter County, South Carolina, United States. Known as the Sumter Metropolitan Statistical Area, the namesake county adjoins Clarendon and Lee to form the core of Sumter-Lee-Clarendon tricounty area of South Carolina that includes the three counties in the east central Piedmont. The population was 39,643 at the 2000 census, and it rose to 40,524 at the 2010 census. Known as the Gamecock City,[citation needed] Sumter lies near the geographic center of the state of South Carolina at 33°55′37″N 80°21′49″W / 33.92694°N 80.36361°W / 33.92694; ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Management Director jobs
$113,148 to $152,998
Sumter, South Carolina area prices
were up 1.5% from a year ago
View detail

What does a Utilization Management Director do?

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