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)
GENERAL JOB SUMMARY:
To provide leadership to the Program Management department to ensure non EVMS programs meet the customer schedule and budgeted profit in support of Senior Management’s strategic vision.
ESSENTIAL JOB FUNCTIONS:
Other Job Functions
SUPERVISORY RESPONSIBILITY:
KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:
EDUCATION AND EXPERIENCE:
Job Benefits:
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From: Kratos Defense
0 Utilization Management Director jobs found in York, PA area