Utilization Management Director jobs in Manchester, 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)

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Director Utilization Review
  • Clinical Management Consultants
  • Manchester, NH FULL_TIME
  • 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

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Director Facilities Management
  • Clinical Management Consultants
  • 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

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Director of Program Management - (85507)
  • Sanmina
  • 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...
  • 16 Days Ago

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Director of Event Management
  • Opal Corporate Office
  • 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...
  • Just Posted

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Director - Hospital Health Information Management
  • Parkland Medical Center
  • 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

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Case Management Benefits Specialist
  • Center for Life Management
  • 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...
  • Just Posted

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0 Utilization Management Director jobs found in Manchester, NH area

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Associate Director/Sr. Manager Biostatistician 2024364
  • Stratacuity: Proven Scientific Placement
  • Waltham, MA
  • Location: Waltham, MA (Hybrid) Therapeutic Area: Immuno-Oncology Job Overview: The Senior Manager/Associate Director, Bi...
  • 4/24/2024 12:00:00 AM

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Assistant General Manager, Director
  • Bloomingdale's
  • Newton, MA
  • Newton, MA, United States Full time Schedule $110,760 - $184,680 Annually* * based on job, location, and schedule About:...
  • 4/24/2024 12:00:00 AM

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Marketing Manager/Director
  • Biocytogen
  • Waltham, MA
  • Position Summary: The Marketing Manager/Director will lead the marketing team to perform daily operations and to design/...
  • 4/23/2024 12:00:00 AM

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Director, Program Management
  • HireMinds
  • Lexington, MA
  • Director, Program Management (Phase II to Commercial) Location: Lexington, MA Are you a seasoned Program Management lead...
  • 4/22/2024 12:00:00 AM

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Director, Product Management
  • Fidelity TalentSource LLC
  • Merrimack, NH
  • Job Description: Position Description: Creates, maintains, and communicates multi-year product roadmaps. Owns the produc...
  • 4/22/2024 12:00:00 AM

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Welder class A
  • Granite State Manufacturing
  • Manchester, NH
  • POSITION SUMMARY Fabricates and welds a variety of metals from sheet stock to heavy plate. Welding processes utilized in...
  • 4/22/2024 12:00:00 AM

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Packaging Engineer
  • Granite State Manufacturing
  • Manchester, NH
  • POSITION SUMMARY Oversee the creation, development and implementation of packaging details and processes to maintain pro...
  • 4/21/2024 12:00:00 AM

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Buisness Developement Manager
  • Cayuse Holdings
  • Concord, NH
  • **Overview** The Environmental Business Development Manager will work with the Company Managing Director to develop and ...
  • 4/20/2024 12:00:00 AM

Manchester is a city in the southern part of the U.S. state of New Hampshire. It is the most populous city in northern New England, an area comprising the states of Maine, New Hampshire, and Vermont. As of the 2010 census the city had a population of 109,565, up slightly to 111,196 in a 2017 estimate. The combined Manchester-Nashua Metropolitan Area had a 2010 population of 400,721. Manchester is, along with Nashua, one of two seats of Hillsborough County, the state's most populous. Manchester lies near the northern end of the Northeast megalopolis and straddles the banks of the Merrimack Rive...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Management Director jobs
$129,601 to $175,247
Manchester, New Hampshire area prices
were up 1.4% 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