Utilization Review Manager - Home Care jobs in Montgomery, AL

Utilization Review Manager - Home Care ensures quality and level of care for patients are up to established standards and comply with federal, state, and local regulations. Investigates and resolves reports of inappropriate care. Being a Utilization Review Manager - Home Care may require a bachelor's degree. Typically reports to a head of a unit/department. To be a Utilization Review Manager - Home Care typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2024 Salary.com)

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Assistant Director Case Management & Utilization Review
  • JACKSON HOSPITAL AND CLINIC
  • Montgomery, AL FULL_TIME
    • Support the Case Management Director and Utilization Review Program
    • Monitors patient results, optimizing resource distribution and implementing continuing care plans to meet patients' post-discharge needs
    • Utilizes chart review, electronic medical record, patient/family interviews, along with the medical group data
    • Organizes plans and prioritizes caseload to optimize care coordination; prioritizes case management for individuals with higher risk factors
    • Evaluates discharge planning needs on admission inspection
    • Collaborates with patient/family, physicians, nurses, ancillary personnel and external agencies to develop safe, individualized, and appropriate continuing care plans
    • Support Director in management a staff of 10-25 case managers and Utilization Review team members
    • Support Director in Hiring, supervise and evaluate case management staff.  Supervise a case management staff with diverse areas of expertise including job development;
    •  Work collaboratively with Intake and Outreach staff, Director of Programs to meet program goals and performance targets.
    •  Analyze program data and plan for program improvements;
    • With support from Director of Programs, submit monthly reports with quantitative and qualitative information with support from Case management Director.
    • Review/Audit of client files to ensure case management plans address identified needs, are up-to-date and that data quality is maintained;
    • Ensure case management staff are regularly monitoring client activity related to achieving personal and programmatic goals, and providing corrective action revisions to case plans as needed
    • Coordinate staff and scheduling and case management assignments;
    • Attend program-related community, coalition and committee meetings
    • Conduct or arrange for appropriate orientations, in-services, and training for program staff
    • Mediate client grievances and facilitate case management/client issues
    • Ensure that Case Managers continually monitor and evaluate each client’s progression through their case management plan, developing corrective action revisions to the plan as needed.
    •  Assist clients in obtaining necessary resources to achieve case management goals;
    • Actively participate in client- and program-related meetings and trainings
    • Attend program-related community, coalition and committee meetings as assigned;
    • Maintain client related data systems, including case notes
    • Prepare case management related reports including but not limited to: outcomes, successes, etc;
    • Adheres to strict boundaries and professional ethics in the care of others;  Conducts crisis intervention as needed
    • Other requirements or duties as assigned
    • Data Analytics
    • Creating and evaluating reports
    • Use of data analytics software
  • 11 Days Ago

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Nurse Care Manager- Private Duty
  • Right at Home
  • Montgomery, AL FULL_TIME
  • Full Job Description We have many exciting opportunities available to work at our highly innovative home care company. While helping to grow skilled nursing in your local area and making sure the best...
  • 10 Days Ago

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Home Care Assistance is growing and I am Hiring compassionate Care Providers!
  • Home Care Assistance
  • Montgomery, AL FULL_TIME
  • Home Care Assistance is growing and I am HIRING compassionate Care Providers!Who am I? I am an entrepreneur and small business owner who is deeply passionate about providing exceptional care and peace...
  • 1 Month Ago

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Nurse Care Manager- Private Duty
  • Right at Home Montgomery
  • Montgomery, AL FULL_TIME
  • Full Job Description We have many exciting opportunities available to work at our highly innovative home care company. While helping to grow skilled nursing in your local area and making sure the best...
  • 17 Days Ago

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Weekend PRN In Home Caregiver
  • Beyond Home Care LLC
  • Alexander, AL PART_TIME
  • Hiring Caregivers for Alexander City, Dadeville, and Jackson's Gap Flexible Schedules Paid Training/Onboarding Quick Advancement Opportunities=pay increases!! Leadership committed to your success! Inc...
  • 3 Days Ago

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RN Patient Care Manager (Home Health)
  • LHC Career Site
  • Troy, AL FULL_TIME
  • We are hiring for a Patient Care Manager with Home Health experience. Registered Nurse (RN) is required. At Troy Regional Home Health, a part of LHC Group, we embrace a culture of caring, belonging, a...
  • Just Posted

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0 Utilization Review Manager - Home Care jobs found in Montgomery, AL area

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Operations Manager- Security
  • Brosnan Risk Consultants
  • Montgomery, AL
  • Company Overview/Benefits: Brosnan is looking for an Security Operations Manager in Montgomery AL! Here at Brosnan Risk ...
  • 4/26/2024 12:00:00 AM

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Supervisory Tax Specialist (TCO Group Manager), NTE 1 YR (12 MONTH ROSTER) (Amended)
  • Department Of The Treasury
  • Montgomery, AL
  • Duties WHAT IS THE TAX EXEMPT/GOVERNMENT ENTITIES (TEGE) DIVISION? A description of the business units can be found at: ...
  • 4/26/2024 12:00:00 AM

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Operations Manager
  • Hogan
  • Montgomery, AL
  • Hogan Transportation is a 100-year-old full-service, multi-faceted transportation company operating throughout North Ame...
  • 4/26/2024 12:00:00 AM

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Case Management Director II
  • Encompass Health
  • Montgomery, AL
  • Sign on Bonus $10,000. 00 As a member of Senior Leadership, the Director of Case Management (DCM) is responsible for the...
  • 4/26/2024 12:00:00 AM

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Manager, Fleet and Safety
  • Fastening Solutions, Inc.
  • Montgomery, AL
  • Job Description Job Description Headquartered in Montgomery, Alabama, Fastening Solutions (FSI) regionally distributes a...
  • 4/25/2024 12:00:00 AM

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Director of Case Management
  • Marvel Consultants
  • Montgomery, AL
  • $10,000 Sign-on! Plus bonus incentive program! Community hospital part of a larger system looking to bring on a Director...
  • 4/24/2024 12:00:00 AM

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Shop Manager Trainee - Shop#716 - 3701 Eastern Boulevard
  • Driven Brands
  • Montgomery, AL
  • Company:Take 5 Oil Change We invite you to join us at Take 5! Take 5 Oil Change is your neighborhood go-to oil change sp...
  • 4/23/2024 12:00:00 AM

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Director of Case Management
  • Marvel Consultants
  • Montgomery, AL
  • $10,000 Sign-on! Plus bonus incentive program! Community hospital part of a larger system looking to bring on a Director...
  • 4/22/2024 12:00:00 AM

Montgomery is the capital city of the U.S. state of Alabama and the county seat of Montgomery County. Named for Richard Montgomery, it stands beside the Alabama River, on the coastal Plain of the Gulf of Mexico. In the 2010 Census, Montgomery's population was 205,764. It is the second most populous city in Alabama, after Birmingham, and is the 118th most populous in the United States. The Montgomery Metropolitan Statistical Area's population in 2010 was estimated at 374,536; it is the fourth largest in the state and 136th among United States metropolitan areas. The city was incorporated in 18...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Manager - Home Care jobs
$67,720 to $86,337
Montgomery, Alabama area prices
were up 1.3% from a year ago