Utilization Management Director jobs in Illinois

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)

U
DIRECTOR OF UTILIZATION MANAGEMENT
  • UHS
  • STREAMWOOD, IL FULL_TIME
  • Responsibilities

    Director of Utilization Management

    Full-Time

     

    The Director of Utilization Management is responsible for the oversight of the utilization management department. Responsibilities include oversight of the flow of treatment activities offered to the consumer, including the clinical screening for appropriation of potential admissions, and appropriate level of care, initiation of treatment phase(s), interface with the treatment team, interface with external case managers and managed care organizations, oversight and implementation of discharge planning and customer service.

     

    Benefits include:

    • Challenging and rewarding work environment
    • Competitive Compensation & Generous Paid Time Off
    • Excellent Medical, Dental, Vision and Prescription Drug Plans
    • 401(K) with company match and discounted stock plan
    • SoFi Student Loan Refinancing Program
    • Career development opportunities within UHS and its 300 Subsidiaries!

    Streamwood Behavioral Healthcare System (SBHS) is a 178-bed acute care facility located in Streamwood, IL and has been providing mental health treatment to the Chicagoland community and the state of Illinois since 1991. We are dedicated to offering services to meet the ever-changing emotional and behavioral healthcare needs of children, adolescents, adults, and their families.

     

    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

    EXPERIENCE/EDUCATION: Bachelor’s Degree in Nursing or Master's degree in psychology or mental/health/human services field is REQUIRED; A minimum of five (5) years direct clinical experience in a medical-psychiatric, psychiatric or mental health setting and at least three years’ experience in utilization management is REQUIRED. Skills in consumer assessment, motivating families and other resources, treatment planning, and communicating with external review organizations or comparable entities is preferred. A minimum of two (2) years supervisory experience is preferred.

     

    LICENSURE/CERTIFICATION: R.N., LPC/LCPC, or LSW/LCSW REQUIRED. Primary Source Verification shall be required through Illinois Department of Professional Regulations. Other relevant credentials may be accepted at the discretion of the CEO and Director of Human Resources

     

    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.

     

    UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at UHS via-email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means.

  • 8 Days Ago

S
DIRECTOR OF UTILIZATION MANAGEMENT
  • Streamwood Behavioral Healthcare System
  • Streamwood, IL FULL_TIME
  • ResponsibilitiesDirector of Utilization ManagementFull-TimeThe Director of Utilization Management is responsible for the oversight of the utilization management department. Responsibilities include ov...
  • 9 Days Ago

I
DIRECTOR OF CASE MANAGEMENT UTILIZATION REVIEW
  • Insight
  • Chicago, IL FULL_TIME
  • osition Summary Under the leadership of the Vice President/COO, the Director, Case Management is an active member of the department that collects and analyzes data. The Director, Case Management is re...
  • 17 Days Ago

V
Director, Case Management and Utilization Review
  • Vista Health System
  • Waukegan, IL FULL_TIME
  • Responsible for providing the overall leadership, management & direction of Case Management operations and staff, and for producing successful outcomes and results. Directs and implements case managem...
  • 29 Days Ago

O
Utilization Management and Review Specialist
  • OSF HealthCare
  • Peoria, IL FULL_TIME
  • OverviewPay range for this position is $32.83 - $48.76/hour. Actual pay is based on years of licensure. POSITION SUMMARY:The Utilization Management and Review Specialist (UMR Specialist) evaluates pat...
  • 3 Days Ago

G
Utilization Management Specialist
  • Group 1001
  • Ridge, IL FULL_TIME
  • Group 1001 is a consumer-centric, technology-driven family of insurance companies on a mission to deliver outstanding value and operational performance by combining financial strength and stability wi...
  • 5 Days Ago

P
Managing Director
  • Principal Financial Group
  • Miami, FL
  • Managing Director - Miami; Principal Financial Network 42364 Sales Regular Full-Time Miami, Florida No A048000-West Cent...
  • 6/11/2024 12:00:00 AM

D
Managing Director, Conflict Management & Dispute Resolution
  • Dallas College
  • Dallas, TX
  • Position Summary The Managing Director of Conflict Management & Dispute Resolution will be responsible for effectively d...
  • 6/10/2024 12:00:00 AM

A
Managing Director, Business Management
  • Applied Materials
  • Santa Clara, CA
  • Managing Director, Business Management page is loaded Managing Director, Business Management Apply locations Santa Clara...
  • 6/10/2024 12:00:00 AM

E
Managing Director
  • Experis
  • Winston-Salem, NC
  • Build your career with Experis, a ManpowerGroup company as we connect human potential to the power of business. Through ...
  • 6/9/2024 12:00:00 AM

O
Managing Director / Senior Managing Director - Debt Advisory
  • Oberon Securities, LLC
  • New York, NY
  • Oberon Securities, based in New York City, is seeking experienced Managing Directors with expertise raising asset, cash ...
  • 6/8/2024 12:00:00 AM

L
Managing Director Investment Management
  • Leadenhall Search & Selection
  • Leadenhall Search & Selection are currently recruiting for Directors and Partners on behalf of a global, fast-growing In...
  • 6/8/2024 12:00:00 AM

D
Senior Relationship Manager - Director - Managing Director
  • Deutsche Bank
  • Miami, FL
  • Job Description: Job Title Relationship Manager Corporate Title Director to Managing Director Location Miami, FL Overvie...
  • 6/7/2024 12:00:00 AM

F
SVB - Managing Director- Relationship Management- Fund Banking
  • First Citizens Bank
  • Boston, MA
  • Overview: Together, Silicon Valley Bank and First Citizens offer you the strength and stability of a diversified financi...
  • 3/29/2024 12:00:00 AM

Illinois (/ˌɪlɪˈnɔɪ/ (listen) IL-ih-NOY) is a state in the Midwestern and Great Lakes region of the United States. It has the fifth largest gross domestic product (GDP), the sixth largest population, and the 25th largest land area of all U.S. states. Illinois is often noted as a microcosm of the entire United States. With Chicago in northeastern Illinois, small industrial cities and immense agricultural productivity in the north and center of the state, and natural resources such as coal, timber, and petroleum in the south, Illinois has a diverse economic base, and is a major transportation hu...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Management Director jobs
$130,057 to $175,864

Utilization Management Director in Abilene, TX
With an ever-increasing emphasis on reducing costs while still improving patient outcomes, utilization management is taking on new importance.
February 09, 2020
Utilization Management Director in Las Vegas, NV
Read more about the Humana Behavioral Health utilization management process and how it determines patient care.
February 18, 2020
Utilization Management Director in Boise, ID
Provides thought leadership on utilization initiatives and activities to enhance interdepartmental coordination.
December 19, 2019