Utilization Management Director jobs in Montana

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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Risk Management and Compliance Director
  • Clinical Management Consultants
  • Miles, MT FULL_TIME
  • An exciting opportunity has become available in South Eastern Montana for an experienced Risk Management Director!

    This Community Care Center, situated in "The Treasure State," is a hub of constructive health care, ready to provide quality care to all those who walk through its doors. With 40 acute care beds, a 24/7 emergency unit, and full medical and surgical services, they are committed to offering comprehensive care that goes above and beyond. Their attached 30-bed skilled Extended Care facility is a testament to their dedication and expertise in the field of health care. 

    The Director of Risk Management is the primary person responsible for overseeing compliance activities within the organization. Their duties include managing a variety of risk management activities, such as facility insurance programs, handling claims against the facility, liaising with legal counsel for defense purposes, and administering the risk management program on a daily basis.

    The Risk Management Director has multiple responsibilities including managing and analyzing risk management data, conducting risk management education programs, and complying with risk management-related accrediting and regulatory agencies, with the objective of enhancing patient safety, promoting quality care, and minimizing loss to protect the assets of the facility.

    Montana is a place of rugged natural beauty, diverse wildlife, and a rich cultural heritage. Montana naturally encourages exploration of the outdoors and has some of the most enjoyable scenic views in the entire country. For families, young adults, and retirees considering moving to the state, Montana has a variety of options to explore, from tiny communities to small cities to robust college towns.

    A Bachelor's degree in a health care related field and previous clinical health care experience will surely make any candidate stand out!

     

  • 3 Days Ago

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Healthcare Director Materials Management
  • Clinical Management Consultants
  • Helena, MT FULL_TIME
  • This trusted and established Acute Care Hospital in Montana is actively interviewing for a Director of Materials Management to lead the Supply Chain and Logistics team. Apply today, and join a leaders...
  • 11 Days Ago

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Risk Management and Compliance Director
  • Clinical Management Consultants
  • Circle, MT FULL_TIME
  • An exciting opportunity has become available in South Eastern Montana for an experienced Risk Management Director! This Community Care Center, situated in "The Treasure State," is a hub of constructiv...
  • 27 Days Ago

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Director of Compliance and Risk Management
  • Clinical Management Consultants
  • Miles, MT FULL_TIME
  • An exciting opportunity has become available in South Eastern Montana for an experienced Risk Management Director! This Community Care Center, situated in "The Treasure State," is a hub of constructiv...
  • 27 Days Ago

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Health Information Management Director
  • Sidney Health Center
  • Sidney, MT FULL_TIME
  • Text to Apply: 406-298-4763 using code- HIM Health Information Management Director **Sign on Bonus Available** Join the ICARE leadership team at Sidney Health Center for an opportunity to lead and gro...
  • 1 Month Ago

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Director of Emergency Management
  • Cascade County
  • Great Falls, MT FULL_TIME
  • Submit all application materials to: Cascade County Human Resources Department 325 2nd Ave N #108 Great Falls, MT 59401 Applications available at the Cascade County Human Resources Dept., www.cascadec...
  • 25 Days Ago

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Utility Management Director
  • Hunt
  • Honolulu, HI
  • A Brief Overview The Utility Management Director is responsible for providing leadership, direction and guidance as it p...
  • 4/26/2024 12:00:00 AM

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Managing Director, Product Management
  • Omnicom Media Group
  • New York, NY
  • Overview Job Description Annalect's 2,000+ innovators leverage data and technology to help clients across Omnicom build ...
  • 4/26/2024 12:00:00 AM

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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 ...
  • 4/25/2024 12:00:00 AM

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Facilities Management Director
  • Encompass Health
  • Altoona, PA
  • The Facilities Management Director is responsible for ensuring that the company Rehabilitation Hospital, satellite clini...
  • 4/25/2024 12:00:00 AM

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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 ...
  • 4/24/2024 12:00:00 AM

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Utility Management Director
  • Hunt Mh Shared Services Llc
  • Tulsa, OK
  • Hunt MH Shared Services LLC Utility Management Director Seattle , Washington Apply Now DescriptionA Brief OverviewThe Ut...
  • 4/24/2024 12:00:00 AM

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Risk Management Director - Asset Management
  • Principal Financial Services Inc.
  • Des Moines, IA
  • What You'll DoWere looking for a Risk Management Director to join our Principal Asset Management team. In this role, you...
  • 4/23/2024 12:00:00 AM

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Risk Management Director - Asset Management
  • Principal Financial Group
  • Des Moines, IA
  • What You'll Do: Were looking for a Risk Management Director to join our Principal Asset Management team. In this role, y...
  • 4/22/2024 12:00:00 AM

Montana (/mɒnˈtænə/ (listen)) is a landlocked state in the Northwestern United States. Montana has several nicknames, although none are official, including "Big Sky Country" and "The Treasure State", and slogans that include "Land of the Shining Mountains" and more recently "The Last Best Place". Montana is the 4th largest in area, the 8th least populous, and the 3rd least densely populated of the 50 U.S. states. The western half of Montana contains numerous mountain ranges. Smaller island ranges are found throughout the state. In all, 77 named ranges are part of the Rocky Mountains. The easte...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Management Director jobs
$118,210 to $159,844

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