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)
Job Title: Director, Account Management
Reports To: VP, Member Services
Position Summary:
Under the direction of the VP, Member Services, the Director is responsible for day-to-day account management and customer service for Yankee Alliance, LLC members.The Director acts as the main point of contact post-onboarding, maintaining customer satisfaction, retention, and growing business. The Director is responsible for maintaining relationships with new accounts and supporting established assigned members in achieving maximum contract utilization and participation in Yankee Alliance programs.
Essential Functions:
Education and Work Experience:
Competencies:
Customer Service
Credibility
Cooperation
Flexibility
Communication
0 Utilization Management Director jobs found in Salem, NH area