Utilization Management Director jobs in Wichita, KS
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
Director of Targeted Case Management
- Goodwill Industries of Kansas
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Wichita, KS
FULL_TIME
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Back to all jobs:
Job Description:
Organization:
For more than 60 years, Goodwill Industries of Kansas has been a trusted resource and advocate for people with disabilities and barriers to employment. At Goodwill Industries of Kansas, our mission is to provide opportunities for people with disabilities and barriers to employment seeking independent and productive lives. We are looking for a Director of Targeted Case Management to play a key role in furthering our mission in our Case Management area.
Summary/Objective:- Responsible for all aspects of the Targeted Case Management program.
- Responsible for the full and pro-active compliance of the Goodwill Industries of Kansas (GWKS) Disabilities & Advocacy department to all applicable licensure, credentials, and certifications as required by reasonable expectation from regional partner CDDO’s and/or state/federal authorities.
- Coordination and implementation of CARF-related survey preparation, survey participation, communication, and completion required for CARF compliance of the Disability & Advocacy department.
- Ensure full and correct licensure and/or credentials required for the Targeted Case Management department are current and in effect.
- Responsible for a formal quality assurance program within the Targeted Case Management department to ensure proper and accurate billing services, accurate documentation, and CARF/licensure compliance.
- Ensure reliable and accurate Case Management billing to all relevant stakeholders.
- To fulfill Goodwill’s mission statement.
Bachelor’s degree in business, Management, Social Work, Education Psychology, or Human Services. Related experience may be considered for a portion of the formal education requirements.
Organizational Responsibilities:- Ensure excellence in service to individuals with disabilities and or barriers to employment and participate in the achievement of their goals.
- Carry out management responsibilities in accordance with GWKS policies and applicable laws.
- Customarily and regularly exercises discretionary authority and independent judgement.
- Directing work, evaluating employee efficiency and productivity, handling employee complaints and disciplining employees.
- Safety of all employees, clients, and property.
- Monitor compliance with SCDDO, CARF, KDADS, and any other applicable/assigned entity or partner.
- Collaborate in setting annual department budget and meet monthly and annual budget goals.
- Department staffing, including position interviews, new hire selection, and terminations.
- Demonstrate a positive role model.
- Display commitment and involvement towards Goodwill's mission.
Benefits:- Paid sick and vacation time the first of the month following 30 days of employment.
- Medical, dental, and vision insurance and eligibility for benefits the first of the month following hire date.
- 401K available after 1 year of employment.
- 20% employee discount at all Goodwill Industries of Kansas locations.
Job Location:
This position will work on site at:
3351 N Webb Rd, Wichita, KS 67226 - 11 Days Ago
Director of the School of Management
- Hesston College
-
Hesston, KS
FULL_TIME
- Director, School of Management Hesston College seeks applicants for a full-time, 12-month faculty position as the Director of the School of Management. The Director will bring visionary leadership and...
- 14 Days Ago
Emergency Management Director
- Seward County Courthouse
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Liberal, KS
FULL_TIME
- Emergency Management Director (Open Positions: 1) Closes On: March 1, 2024 at 11:59 PM CST Location: Seward County Courthouse, Liberal, KS 67901 Division: None Job Status: Full-Time Days Worked: Mon.,...
- 16 Days Ago
Director of Facilities Management
- Goodwill Industries of Kansas
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Wichita, KS
FULL_TIME
- Back to all jobs: Job Description: Organization: For more than 60 years, Goodwill Industries of Kansas has been a trusted resource and advocate for people with disabilities and barriers to employment....
- 20 Days Ago
Director of Case Management
- Labette Health
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Parsons, KS
FULL_TIME
- Category: Nursing Administration Department: Quality/Case Management Description: Summary: A registered nurse that assumes the responsibility and accountability for the coordination and facilitation o...
- 1 Month Ago
Director of Quality and Risk Management
- Satanta District Hospital
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Satanta, KS
FULL_TIME
- Position Summary: Plans and directs both the Quality and Risk Management Programs for the Satanta District Hospital, Clinics, and LTCU. Responsible for writing and editing the Quality Assurance Perfor...
- 1 Month Ago
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0 Utilization Management Director jobs found in Wichita, KS area
Interim Traveler - Director of Infection Prevention
- Ascension
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Wichita, KS
- Details Department: Ascension Internal Travel Program Schedule: Monday-Friday, 40 hours per week Hospital: St. Francis p...
- 4/18/2024 12:00:00 AM
Visual Verification Sales Manager, Central Region
- Optex Technologies Inc.
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Wichita, KS
- ****Visual Verification Sales Manager, Central Region**** **Role and Responsibilities** This position will be a strategi...
- 4/18/2024 12:00:00 AM
Travel Physical Therapist-Michigan
- Hiring Now!
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Wichita, KS
- Overview: Explore ATI (Passport and Launch) are travel programs for physical therapists that offers short term and long ...
- 4/18/2024 12:00:00 AM
Continuous Improvement Manager (MLO)
- Hiring Now!
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Wichita, KS
- Division of $5.2 billion global leader of food and beverage manufacturing with accounts with Starbucks, Chick-Fil-A,Chip...
- 4/17/2024 12:00:00 AM
Travel Physical Therapist-Iowa
- Hiring Now!
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Wichita, KS
- Overview: Explore ATI (Passport and Launch) are travel programs for physical therapists that offers short term and long ...
- 4/17/2024 12:00:00 AM
Travel Physical Therapist-Tennessee
- Hiring Now!
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Wichita, KS
- Overview: Explore ATI (Passport and Launch) are travel programs for physical therapists that offers short term and long ...
- 4/17/2024 12:00:00 AM
Travel Physical Therapist-Oregon
- Hiring Now!
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Wichita, KS
- Overview: Explore ATI (Passport and Launch) are travel programs for physical therapists that offers short term and long ...
- 4/17/2024 12:00:00 AM
Delivery Driver (CDL Class A/B)
- American Tire Distributors, Inc.
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Wichita, KS
- Location: Location: Delivery Driver (CDL Class A/B) in Wichita, KS at American Tire Distributors **Location:** **Experie...
- 4/15/2024 12:00:00 AM
About Wichita, Kansas
Downtown Wichita is at 37°41′20″N 97°20′10″W / 37.68889°N 97.33611°W / 37.68889; -97.33611 (37.688888, −97.336111), at an elevation of 1,299 feet (396 m). Wichita is in south-central Kansas at the junction of Interstate 35 and U.S. Route 54. Part of the Midwestern United States, it is 157 mi (253 km) north of Oklahoma City, 181 mi (291 km) southwest of Kansas City, and 439 mi (707 km) east-southeast of Denver.
The city lies on the Arkansas River near the western edge of the Flint Hills in the Wellington-McPherson Lowlands region of the Great Plains. The area's topography is characterized by...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Management Director jobs
$118,210 to $159,844
Wichita, Kansas area prices
were up 1.3% from a year ago
were up 1.3% from a year ago
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