Utilization Management Director jobs in Spartanburg, 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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Admissions & Marketing Director
  • Ascent Healthcare Management
  • Rutherfordton, NC FULL_TIME
  • NOW OFFERING DAILY PAY! We are pleased to offer a voluntary benefit for employees to access their pay on their own schedule. Work today, get paid today.

     

    Hilltop Health and Rehab is a member of the Ascent Healthcare family of skilled nursing facilities and rehabilitation centers. We are resident-centered and quality-focused! Our workplace culture is all about uplifting people. If you are looking for a healthcare organization where you can bring your best ""you"" to work, where you can make a difference, and where you can team-up with like-minded co-workers, then we are also looking for you. Join us!

     

    Hilltop Health and Rehab is seeking an Admissions & Marketing Director to join our team.

     

    What you will do:

     

    • Respond to inquiry calls from hospital discharge planners, families, and other referral sources.

    • Conduct facility tours.

    • Manage the admission process by maintaining updated bed availability and facility services information at all times.

    • Manage the inquiry process professionally, timely and with appropriate follow-up.

    • Effectively manage occupancy levels and census/premium mix enhancement.

    • Understand census, quality mix and bed management needs of the facility.

    • Process admissions paperwork, ensure appropriate payor source, etc. and obtain signatures from residents or responsible parties prior to each admission. 

    • Communicate special needs of new admits to staff to facilitate a smooth transition.

    • Alert appropriate department supervisors and building staff of projected changes, i.e. admissions, bed changes, and discharges, by chairing daily admission meeting to discuss forthcoming changes. Utilize bed management principles.

    • Maintain a close working relationship with the Marketing Director, Director of Nursing and the Business Office Manager to ensure appropriate and efficient decisions about prospective admissions.

     

    What you need:

    • Bachelor’s degree in Business, Communications, or related field preferred; equivalent related work experience may be acceptable.

    • Minimum of two (2) years of experience in a health care setting; long-term care setting preferred.

    • Equivalent experience in a Director of Admissions position may be acceptable.

    • Effective verbal and written English communication skills.

    • Demonstrated basic to intermediate skills in Microsoft Word, Excel, Power Point and Outlook, Internet and Intranet navigation.

    • Highest level of professionalism with the ability to maintain confidentiality.

    • Ability to communicate at all levels of organization and work well within a team environment in support of company objectives.

    • Customer service oriented with the ability to work well under pressure.

    • Strong attention to detail and accuracy, excellent organizational skills with ability to prioritize, coordinate and simultaneously maintain multiple projects with high level of quality and productivity.

    Candidates will be required to show proof of being fully vaccinated against COVID-19 upon commencing employment. Reasonable accommodations will be considered on a case-by-case basis for exemptions to this requirement in accordance with applicable law.

     

    #HHR

  • 11 Days Ago

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Director Workplace Management, Distribution Centers
  • Adidas
  • Spartanburg, SC FULL_TIME
  • PURPOSE & OVERALL RELEVANCE FOR THE ORGANIZATION The Director Workplaces Management - D.C.'s, is responsible for the strategic and conceptual development and operation of the assigned service areas of...
  • 28 Days Ago

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Floor Tech/Env. Svc Director
  • WHITE OAK MANAGEMENT
  • Spartanburg, SC OTHER
  • Job Details Job Location: White Oak Manor Spartanburg - Spartanburg, SC Position Type: Full Time Education Level: High School Salary Range: Undisclosed Job Shift: Day Job Category: Housekeeping Descri...
  • 4 Days Ago

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Assisted Living Director- White Oak Estates
  • WHITE OAK MANAGEMENT
  • Spartanburg, SC OTHER
  • Job Details Job Location: White Oak Estates - Spartanburg, SC Position Type: Full Time Salary Range: Undisclosed Job Shift: Day Job Category: Health Care DescriptionCome join our team at White Oak Est...
  • 1 Month Ago

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Director TECH Project Management Logistics and Distribution
  • Adidas
  • Spartanburg, SC FULL_TIME
  • Purpose & Overall Relevance for the Organization: The management of projects, typically (but not exclusively) involving the development and implementation of business processes to meet identified busi...
  • 1 Month Ago

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Health Information Management Director, HIM, RHIT, RHIA
  • Southern Medical Recruiters
  • Spartanburg, SC FULL_TIME
  • Company DescriptionClients are general acute care hospitals nationwide. Southern Medical Recruiters is a healthcare/hospital recruitment organization with hospitals clients nationwide. seeking the bes...
  • 1 Month Ago

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0 Utilization Management Director jobs found in Spartanburg, SC area

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Managing Director of Center
  • Concordance
  • Spartanburg, SC
  • Managing Director of Center Department: AdministrationEmployment Type: Full TimeLocation: Greenville-SpartanburgReportin...
  • 4/24/2024 12:00:00 AM

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Travel Nurse RN - Manager, Director of Nursing - $1,722 per week
  • Hiring Now!
  • Woodruff, SC
  • Anders Group is seeking a travel nurse RN Manager, Director of Nursing for a travel nursing job in Woodruff, South Carol...
  • 4/24/2024 12:00:00 AM

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Post-Release Case Manager
  • Concordance
  • Spartanburg, SC
  • Post-Release Case Manager Department: Case ManagerEmployment Type: Full TimeLocation: Greenville-SpartanburgReporting To...
  • 4/23/2024 12:00:00 AM

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Nursing Assistant Cert- CV & Monitored Surgery (FT, Days)
  • Prisma Health
  • Greenville, SC
  • Inspire health. Serve with compassion. Be the difference. Job Summary Assists the Registered Nurse in providing patient ...
  • 4/22/2024 12:00:00 AM

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Nursing Assistant, 4B Surgical Telemetry, PRN, Days
  • Prisma Health
  • Greenville, SC
  • Inspire health. Serve with compassion. Be the difference. Job Summary Under the direction of a Registered Nurse assumes ...
  • 4/22/2024 12:00:00 AM

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Certified Nursing Assistant, Nursing Service, Part-Time, Days
  • Prisma Health
  • Travelers Rest, SC
  • Inspire health. Serve with compassion. Be the difference. Job Summary Assists the Registered Nurse in providing patient ...
  • 4/22/2024 12:00:00 AM

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Certified Nursing Assistant, Nursing Service, PRN, Days
  • Prisma Health
  • Travelers Rest, SC
  • Inspire health. Serve with compassion. Be the difference. Job Summary Assists the Registered Nurse in providing patient ...
  • 4/22/2024 12:00:00 AM

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Certified Nursing Assistant, Nursing Service, Full-Time, Days
  • Prisma Health
  • Travelers Rest, SC
  • Inspire health. Serve with compassion. Be the difference. Job Summary Assists the Registered Nurse in providing patient ...
  • 4/22/2024 12:00:00 AM

Spartanburg is the most populous city in and the seat of Spartanburg County, South Carolina, United States, and the 12th-largest city by population in the state. The city of Spartanburg has a municipal population of 37,013, and Spartanburg County has an urban population of 180,786 as of the 2010 census. The Spartanburg Metropolitan Statistical Area, including Spartanburg and Union counties, had a population of 317,057 as of the 2010-2014 American Community Survey 5-Year Estimates. Spartanburg is the second-largest city in the greater Greenville–Spartanburg–Anderson Combined Statistical Area, w...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Management Director jobs
$118,969 to $160,871
Spartanburg, 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