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)
The Center for Nursing & Rehabilitation at Hoosick Falls is looking for an Assistant Director of Nursing to join our incredible team!
We're not just a workplace; we're a community driven by excellence. We take immense pride in what sets us apart - our exceptional leadership, a warm and friendly work environment, and a reputation that we've worked hard to earn. If you're ready for a rewarding career experience, your journey begins here!
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Ready to take the next step in your career journey? We're excited to get to know you! Apply today and discover why The Center for Nursing & Rehabilitation at Hoosick Falls is the perfect place for your professional aspirations.
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0 Utilization Management Director jobs found in Troy, NY area