Utilization Management Director jobs in Massachusetts
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
Nurse Director Utilization Review
- Clinical Management Consultants
-
Framingham, MA
FULL_TIME
-
A leading acute care hospital located in eastern Massachusetts is now searching for an experienced Nurse Director Utilization Review to join their award-winning healthcare team
This not-for-profit acute care hospital is a respected healthcare facility with a long-standing history of providing a range of quality medical services to the local community. Committed to delivering quality care, this organization offers various healthcare services, including emergency care, surgical procedures, diagnostic imaging, rehabilitation, maternity care, and specialized treatments. The hospital focuses on patient well-being and remains a trusted provider in the region.
Reporting to the Senior VP Clinical Operations, the Nurse Director Utilization Review will provide leadership to the hospital case management, integrated clinical services, discharge planning, and care transitions. Responsibilities include focusing on patient throughput and placement status, chairs the Utilization Review committee, ensures timely and effective communication with stakeholders, takes an active leadership role in daily rounds, offers in-depth knowledge of Medical and Medicaid, ensures regulatory compliance, and has oversight of department budgets. The Nurse Director is supported by one Lead Case Manager and a staff of 30 Staff Case Managers.
What Makes You Awesome- Bachelor’s level degree in Nursing BSN
- Registered Nurse RN license in the state of Massachusetts or ability to obtain
- Progressive leadership experience in acute care case management
This organization is prepared to offer a competitive compensation package including industry leading benefits and continued growth opportunities.
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Nurse Director Utilization Review
- Clinical Management Consultants
-
Taunton, MA
FULL_TIME
- A leading acute care hospital located in eastern Massachusetts is now searching for an experienced Nurse Director Utilization Review to join their award-winning healthcare team This not-for-profit acu...
- 2 Months Ago
Nurse Director Utilization Review
- Clinical Management Consultants
-
Taunton, MA
FULL_TIME
- A leading acute care hospital located in eastern Massachusetts is now searching for an experienced Nurse Director Utilization Review to join their award-winning healthcare team This not-for-profit acu...
- 2 Months Ago
Utilization Management Specialist
- Valley Springs Behavioral Health Hospital
-
Holyoke, MA
OTHER
- DescriptionValley Springs Behavioral Health Hospital, a state-of-the-art hospital operated jointly with Lifepoint Behavioral Health and Baystate Health, seeks passionate, creative, and goal-oriented t...
- 2 Days Ago
Clinical Support - Utilization Management
- Randstad
-
Boston, MA
FULL_TIME
- This job offer is not available in your country. job summary : Responsibilities : Responsibilities : Provide support to UM Care Managers to ensure provider and member customer satisfaction. Process au...
- 11 Days Ago
Inpatient Utilization Management Specialist
- WellSense Health Plan
-
Boston, MA
FULL_TIME
- It's an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their ci...
- 16 Days Ago
Utilization Management Director jobs at Popular Companies
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
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
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
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
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
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
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
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
About Massachusetts
Massachusetts is the 7th-smallest state in the United States. It is located in the New England region of the northeastern United States and has an area of 10,555 square miles (27,340 km2), 25.7% of which is water. Several large bays distinctly shape its coast. Boston is the largest city, at the inmost point of Massachusetts Bay, and the mouth of the Charles River.
Despite its small size, Massachusetts features numerous topographically distinctive regions. The large coastal plain of the Atlantic Ocean in the eastern section of the state contains Greater Boston, along with most of the state's po...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Management Director jobs
$138,321 to $187,038
Most Popular Cities in Massachusetts for Utilization Management Director Jobs
What does a Utilization Management Director do?
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