Utilization Management Director jobs in Hilton Head Island, SC

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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Utilization Review Director
  • Coastal Behavioral Health
  • Savannah, GA FULL_TIME
  • Responsibilities:
    Coastal Harbor Health System offers compassionate care when you or your loved ones need it most. Our experienced team of doctors, nurses and therapists are specialists in behavioral care and deeply understand the difficult challenges you or your loved one face. Our two facilities, Coastal Behavioral Health and Coastal Harbor Treatment Center, are conveniently located in Savannah, Georgia, but we accept patients from many states across the country.

    Visit us online: https://coastalharbor.com/

    The Director of Utilization Review is responsible for directing and overseeing the Utilization Review Program for In Patient services. This includes the implementation of case management scenarios, consulting with all services to ensure the provision of an effective treatment plan for all patients, oversees the response to requests for services and interfaces with managed care organizations, external reviewers, and other payors.

    Benefit Highlights:
    • Challenging and rewarding work environment
    • Competitive Compensation
    • Tuition Reimbursement Program
    • Excellent Medical, Dental, Vision and Prescription Drug Plan
    • 401(K) with company match and discounted stock plan
    • Generous Paid Time Off
    • Career development opportunities within UHS and its 300 Subsidiaries

    If you would like to learn more about this position before applying, please contact Madison Reddell, Clinical Recruiter, at Madison.Reddell@uhsinc.com or by phone at (484)-584-2790.


    About Universal Health Services

    One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $13.4 billion in 2022. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 94,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com
    Qualifications:
    Degree in Nursing, Social Work, Mental Health/Behavioral Sciences, or related field. LMSW, LPC, or RN licensure is required. A minimum of five (5) years’ direct clinical experience in a psychiatric or mental health treatment setting. A minimum of one year of managing a related function is preferred.

    EEO Statement
    All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

    We believe that diversity and inclusion among our teammates is critical to our success.

    Notice
    At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.
  • 1 Month Ago

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Assistant Director of Property Management
  • Confidential
  • Savannah, GA FULL_TIME
  • **Position would require consistent travel to Nashville, Charlotte, and Savannah markets with occasional travel to Portland, Maine. Traveling is required to each site 1-2 days per month. Hiring for an...
  • Just Posted

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Director of Case Management - RN
  • Your Health Organization
  • Okatie, SC FULL_TIME
  • GENERAL DESCRIPTION The role of the Director of Case Management is responsible for leading and managing the care teams within their assigned region. The position will be responsible for staff producti...
  • 4 Days Ago

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Facility Management Deputy Director
  • County of Beaufort (SC)
  • Beaufort, SC FULL_TIME
  • JOB FACILITY MANAGEMENT DEPUTY DIRECTOR: Provides leadership in development, implementation, and management of existing and new project/programs. Plans, manages, and directs Facility Management projec...
  • 28 Days Ago

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Culinary Director
  • SRM MANAGEMENT GROUP LLC
  • Bluffton, SC FULL_TIME
  • Summary: Responsible for enhancing and improving the SRIM Management experience specifically in Artful Dining for residents, families and visitors. Demonstrates and promotes SRMMG’s core value of the ...
  • 28 Days Ago

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Director of Resident Services
  • SRM MANAGEMENT GROUP LLC
  • Bluffton, SC FULL_TIME
  • Summary: Responsible for enhancing and improving the SRIM experience specifically in Heartful Care for our residents and their families by performing the following duties. Duties and Responsibilities ...
  • 11 Days Ago

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0 Utilization Management Director jobs found in Hilton Head Island, SC area

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cTeam Member (FT & PT Storewide Opportunities) - Hilton Head Island, SC
  • Whole Foods
  • Bluffton, SC
  • Are you a Foodie seeking a new and exciting opportunity? Come join the Whole Foods Market team where youll work in a pro...
  • 4/24/2024 12:00:00 AM

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cTeam Member (FT & PT Storewide Opportunities) - Hilton Head Island, SC
  • Whole Foods
  • Hilton Head Island, SC
  • Are you a Foodie seeking a new and exciting opportunity? Come join the Whole Foods Market team where youll work in a pro...
  • 4/23/2024 12:00:00 AM

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Chief Executive Officer
  • Georgia Heritage Federal Credit Union
  • Savannah, GA
  • Georgia Heritage Federal Credit Union is one of the oldest locally owned financial institutions in the Savannah Metropol...
  • 4/22/2024 12:00:00 AM

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MEDITECH Applications Analyst - (PCS Oncology)
  • Cerecore
  • Savannah, GA
  • Classification:Contract to hireDuration : 6 monthsLocation : Savannah, GAJob ID:16350246At CereCore, our heart for healt...
  • 4/22/2024 12:00:00 AM

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Chief Executive Officer
  • Georgia Heritage Federal Credit Union
  • Savannah, GA
  • Georgia Heritage Federal Credit Union is one of the oldest locally owned financial institutions in the Savannah Metropol...
  • 4/21/2024 12:00:00 AM

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Production Coordinator
  • Savannah College Of Art And Design
  • Savannah, GA
  • As the production coordinator, you will be responsible for budgetary management, coordinating productions, scheduling, s...
  • 4/21/2024 12:00:00 AM

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Server Assistant/Busser/Host
  • Red Lobster
  • Savannah, GA
  • Job Overview Are you looking to work with the best in the industry to enhance your hospitality career? As a Service Assi...
  • 4/20/2024 12:00:00 AM

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Outside Brands Land Operations Manager
  • Windsurfing Hilton Head, Inc.
  • Hilton Head Island, SC
  • Job Type Full-time Description Job description Outside Brands is committed to enriching lives by connecting people to ex...
  • 4/20/2024 12:00:00 AM

Hilton Head Island, sometimes referred to as simply Hilton Head, is a Lowcountry resort town and barrier island in Beaufort County, South Carolina, United States. It is 20 miles (32 km) northeast of Savannah, Georgia, and 95 miles (153 km) southwest of Charleston. The island is named after Captain William Hilton, who in 1663 identified a headland near the entrance to Port Royal Sound, which mapmakers named "Hilton's Headland." The island features 12 miles (19 km) of beachfront on the Atlantic Ocean and is a popular vacation destination. In 2004, an estimated 2.25 million visitors pumped more t...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Management Director jobs
$117,577 to $158,988
Hilton Head Island, South Carolina 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