Utilization Management Director jobs in Keene, NH
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
- Clinical Management Consultants
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Manchester, NH
FULL_TIME
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A leading acute care hospital located in central New Hampshire is now seeking an experienced Director Case Management to join their award-winning healthcare team.
This regional leading acute care hospital is home to just over 130-beds and provides a wide variety of expert acute care services. For the Lakes and Three Rivers regions, this location offers medical, surgical, specialty, diagnostic, rehabilitative, emergency, patient education, and community support services.
Reporting to the Chief Nursing Officer, the Director Case Management will lead all operations of the inpatient utilization review, social work, physician services, and indigent care departments. The Director Case Management will oversee discharge planning, evaluate the utilization review process, partner with internal hospitalists, align the department with organizational goals, have oversight of department budgets, maintain regulatory standards, and represent the case management service line in various hospital committees.
Requirements Include:
- Bachelor’s level degree from an accredited college or university
- Certified Case Manager CCM certification preferred
- Progressive leadership experience in case management and utilization review
Located in central New Hampshire, this location is perfectly situated between two beautiful lakes and offers a quaint village feel.
This organization is prepared to offer a competitive compensation package including industry leading benefits and future growth opportunities.
- 1 Month Ago
- Clinical Management Consultants
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Manchester, NH
FULL_TIME
- A leading acute care hospital located in central New Hampshire is now seeking an experienced Director Plant Operations to join their award-winning healthcare team. This regional leading acute care hos...
- 1 Month Ago
- Sanmina
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Plant, FL
FULL_TIME
- POSITION SUMMARY/PURPOSE OF POSITION: Manages the divisional product line and program management function for assigned customers, plants and/or regions. Manages the activities of the team and is respo...
- 17 Days Ago
- Opal Corporate Office
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Castle, NH
FULL_TIME
- Director of Event Management$100,000 Bonus, Commensurate with experience Job Description: The Director of Event Management is responsible for overseeing the entire events department. This includes dir...
- 1 Day Ago
- Parkland Medical Center
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Derry, NH
FULL_TIME
- This position is incentive eligible. Introduction Do you have the career opportunities as an HIM Director you want with your current employer? We have an exciting opportunity for you to join Parkland ...
- 1 Month Ago
- Center for Life Management
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Derry, NH
FULL_TIME
- Fulfill your purpose at CLM: https://www.youtube.com/channel/UC8bCS3JufXrPyr7SgiLrusQ CLM provides the area's most comprehensive array of mental health services for children and their families. The Ca...
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0 Utilization Management Director jobs found in Keene, NH area
- Chesco Inc.
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Keene, NH
- Program Manager Are you compassionate, caring and just simply want to help someone live their best life? If this sounds ...
- 4/26/2024 12:00:00 AM
- Whitsons Culinary Group
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Townsend, MA
- Requisition Number 10812 Job Title CHEF MANAGER -NORTH MIDDLESEX SCHOOL NUTRITION Location North Middlesex Admin Job Des...
- 4/26/2024 12:00:00 AM
- The Hermitage Club at Haystack Mountain
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Wilmington, VT
- Job Title: Accounts Payable/Receivable - Accounting Assistant Department: Finance Reports to: CFO Job Type: FT/Year-Roun...
- 4/26/2024 12:00:00 AM
- Adecco Staffing, USA
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Peterborough, NH
- Adecco Staffing is partnering with a company in Peterborough, NH to bring on an experienced administrative assistant. Th...
- 4/25/2024 12:00:00 AM
- PathWays of the River Valley
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DREWSVILLE, NH
- PathWays of the River Valley has been supporting individuals with developmental disabilities and their families in Sulli...
- 4/23/2024 12:00:00 AM
- PathWays of the River Valley
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SULLIVAN, NH
- PathWays of the River Valley has been supporting individuals with developmental disabilities and their families in Sulli...
- 4/23/2024 12:00:00 AM
- PathWays of the River Valley
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MARLOW, NH
- PathWays of the River Valley has been supporting individuals with developmental disabilities and their families in Sulli...
- 4/23/2024 12:00:00 AM
- Capital One
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Keene, NH
- Center 3 (19075), United States of America, McLean, Virginia Director, Technical Program Management - Enterprise Data Ab...
- 4/22/2024 12:00:00 AM
About Keene, New Hampshire
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