Utilization Management Director jobs in Troy, NY

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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Assistant Director of Nursing
  • Essential Healthcare Management
  • Hoosick, NY FULL_TIME
  • 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! 

     

    Shift Hours: 

     

    Assistant Director of Nursing Benefits: 

    • Competitive wages based on experience  
    • Daily pay option available 
    • Generous paid time off (PTO) package 
    • Medical, Dental and Vision insurance  
    • Supplemental disability and life insurance options available 
    • Flexible Spending Account 
    • 401k available 
    • Career advancement opportunities / tuition reimbursement 
    • Complementary uniform  
    • Friendly work environment 
    • Referral bonus 

     

    Assistant Director of Nursing Responsibilities: 

    • Takes on some of the responsibilities of the nursing department as may be delegated; 
    • Provides assistance in the functioning of the nursing department 
    • Assists/supports the translation of the nursing philosophy of the facility into nursing practice by participating in the planning, implementation, and evaluation of nursing care delivery system; 
    • Must have thorough knowledge of nursing theory, techniques, and practices; 
    • Must have ability to supervise nursing functions in an effective manner; 
    • Assists and participates in the development, organization and implementation of the philosophy, objectives, policies, procedures and standards of nursing care in accordance with the goals of Windsor Health Care, LLC’s Center; 
    • Confers with the Director of Nursing in assessing the quality of nursing care being delivered and recognizes the need for improving or changing nursing practices; 
    • Assists with the development, direction, participation, and evaluation of the orientation program for nursing personnel; responsible for orientation of new nursing employees in the absence of the Director of Staff Development; 
    • Makes daily rounds to evaluate resident care, the progress of individual employees, monitors nursing practices and assists personnel with nursing and educational needs; 
    • Remains cognizant of legal aspects of nursing practice as well as government regulations; demonstrates this in teaching, supervision, and evaluation of resident care; 
    • Assists with on-site evaluation of employee performance and assesses need for progressive disciplinary action; participates in employee conferences, as requested by the Director of Nursing; 
    • Concerns his/herself with the safety of all facility residents in order to minimize the potential for fire and accidents. Also, ensures that the facility adheres to the legal, safety, health, fire and sanitation codes by being familiar with his/her role in carrying out the facility’s fire, safety and disaster plans and by being familiar with current MSDS; 
    • Assists with daily scheduling to ensure adequate and safe staffing necessary to deliver nursing services; keeps within predetermined par level staffing ratios 

     

    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. 

     

    Join us at The Center for Nursing & Rehabilitation at Hoosick Falls, a member of The Center for Nursing & Rehabilitation at Hoosick Falls, and start a career that's

     

  • 13 Days Ago

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System Compliance Director
  • Clinical Management Consultants
  • Cuttingsville, VT FULL_TIME
  • An award-winning acute care hospital located in central Vermont is now searching for an experienced System Compliance Director to join their accredited healthcare team. This state-of-the-art facility ...
  • 5 Days Ago

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Executive Director, Strategic Alliances & CMC Program Management
  • Regeneron Pharmaceuticals Inc.
  • Troy, NY FULL_TIME
  • The Executive Director, Strategic Alliances & CMC Program Management is responsible for providing strategic management of the company’s commercial and/or clinical development program teams.As an Execu...
  • 4 Days Ago

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Management Analyst
  • Army Tank-Automotive and Armament Command (TACOM)
  • Watervliet, NY FULL_TIME
  • Please limit your resume to 5 pages. If more than 5 pages are submitted, only the first 5 pages will be reviewed to determine your eligibility/qualifications. About the Position: The Watervliet Arsena...
  • 11 Days Ago

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Management Analyst
  • US Army Tank-Automotive and Armament Command...
  • Watervliet, NY FULL_TIME
  • Duties Plans and completes special projects and assignments such as fact-finding on unusual, proposed personnel actions. Conducts studies of work processes in various organizations to identify, analyz...
  • 1 Month Ago

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Management Consultant
  • Shore Marketing Inc
  • Troy, NY FULL_TIME
  • Are you ready to make a change in your career? Are you ready to catapult yourself and your skillset to the next level? Shore Marketing is searching for an entry-level Management Consultant who is look...
  • 1 Month Ago

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0 Utilization Management Director jobs found in Troy, NY area

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Medical Imaging Tech I - Cath Lab
  • Albany Medical Center
  • Albany, NY
  • Department/Unit: Adult Cardiac Cath Lab Work Shift: Day (United States of America) The Medical Imaging Technologist, und...
  • 4/19/2024 12:00:00 AM

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Buisness Developement Manager
  • Cayuse Holdings
  • Albany, NY
  • Overview The Environmental Business Development Manager will work with the Company Managing Director to develop and impl...
  • 4/19/2024 12:00:00 AM

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Principal Consultant - Healthcare and Lifesciences
  • Frost & Sullivan
  • Albany, NY
  • About the Team: Frost & Sullivans Healthcare & Life Sciences Growth Advisory practice has a powerhouse team of analysts ...
  • 4/19/2024 12:00:00 AM

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Medical Imag Tech I-CT 
  • Albany Medical Center
  • Albany, NY
  • Department/Unit: C.T. Scan Work Shift: Night (United States of America) Salary Range: Min $28.99/hr - Max $46.39/hr Thre...
  • 4/19/2024 12:00:00 AM

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Hollister Co. - Manager in Training, Cross County
  • Abercrombie & Fitch Co.
  • Greenville, NY
  • Company Description Abercrombie & Fitch Co. (NYSE: ANF) is a leading, global specialty retailer of apparel and accessori...
  • 4/18/2024 12:00:00 AM

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Hollister Co. - Manager in Training, Cross County
  • Abercrombie and Fitch Co.
  • Greenville, NY
  • Company Description Abercrombie & Fitch Co. (NYSE: ANF) is a leading, global specialty retailer of apparel and accessori...
  • 4/18/2024 12:00:00 AM

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Laboratory Manager/Director
  • H2 Talent
  • Menands, NY
  • Our client, a cannabis testing lab, has a need for a Lab Manager/Director to join their team and oversee daily activitie...
  • 4/17/2024 12:00:00 AM

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Senior Director, Vendor Management
  • MVP Health Care
  • Schenectady, NY
  • Senior Director, Vendor Management Headquarters Office, 625 State Street, Schenectady, New York, United States of Americ...
  • 3/1/2024 12:00:00 AM

Troy is a city in the U.S. state of New York and the seat of Rensselaer County. The city is located on the western edge of Rensselaer County and on the eastern bank of the Hudson River. Troy has close ties to the nearby cities of Albany and Schenectady, forming a region popularly called the Capital District. The city is one of the three major centers for the Albany Metropolitan Statistical Area (MSA), which has a population of 1,170,483. At the 2010 census, the population of Troy was 50,129. Troy's motto is Ilium fuit. Troja est, which means "Ilium was, Troy is". Today, Troy is home to Renssel...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Management Director jobs
$128,335 to $173,535
Troy, New York area prices
were up 1.5% 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