Utilization Management Director jobs in Ohio

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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Director of Case management and Utilization Review
  • Outcome HC
  • Beachwood, OH FULL_TIME
  • King David formerly known as Menorah Park is looking for a Case Manager/Utilization Review Director.  This Person would review the medical record, provide updated documentation to all insurnace compaines for admission and continued stays.  Monitor the record for accurate documentation from both the clinical and therapy teams.  Work with the multidiciplinary team to improve quality of care and financial outcomes.

     

    Salary: Based on experience

    Benefits:

    • Competitive Salary
    • Flexible Scheduling
    • Paid Time Off
    • Medical/Prescription Drug Health Care Coverage
    • Dental and Vision
    • Life Insurance
    • Flexible Spending Account
    • Dependent Reimbursement Account
    • Retirement Plan
    • Long Term Disability (At No Cost to the Employee)
    • Onsite 5-Star Child Care Center
    • Free Parking
    • Discount Opportunities

     

    About King David (Formerly Menorah Park)
    Our team shares a strong sense of pride in shaping our excellent reputation for providing superior care to our residents and clients. Our culture is to care with a vision to empower, inspire and simply make life better. We also provide a positive, enjoyable working atmosphere for our employees who earn competitive pay and excellent benefits.

    Our core values of excellence, compassion, integrity, service and stewardship create the highest standards of care for our residents, clients and guests. We seek those who share this commitment to guest service, accountability for attendance and punctuality and a dedication to continuous learning and growth.


    We are a tobacco free campus. As a health care organization, we are committed to the health and safety of our residents, clients, guests, and team members. 

     

  • 7 Days Ago

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Director of Case management and Utilization Review
  • Outcome HC
  • Beachwood, OH FULL_TIME
  • King David formerly known as Menorah Park is looking for a Case Manager/Utilization Review Director. This Person would review the medical record, provide updated documentation to all insurnace compain...
  • 7 Days Ago

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Utilization Review Nurse - Utilization Management
  • METROHEALTH MEDICAL CENTER
  • Cleveland, OH FULL_TIME
  • Location: METROHEALTH MEDICAL CENTER Biweekly Hours: 64.00 Shift: variable start time, day shift The MetroHealth System is redefining health care by going beyond medical treatment to improve the found...
  • 8 Days Ago

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RN Utilization Management Specialist
  • OneTen
  • Cleveland, OH FULL_TIME
  • Job Summary:Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. At Cleveland Clinic, you will work alongside passionate and dedica...
  • 5 Days Ago

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Director of Utilization Review
  • NewVista Healthcare
  • Columbus, OH FULL_TIME
  • New Vista Health and Wellness is currently seeking an experienced clinician to lead our Utilization Review department as Director of Utilization Review at River Vista, a Behavioral Health Hospital.WHO...
  • 12 Days Ago

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ED Utilization Management Nurse (Hybrid)
  • University Hospitals Careers
  • Shaker Heights, OH FULL_TIME
  • DescriptionEssential FunctionsCollaborates and coordinates with all members of the health care team, patient and family (or significant others) to coordinate and ensure timely and efficient delivery o...
  • 10 Days Ago

Ohio /oʊˈhaɪoʊ/ (listen) is a Midwestern state in the Great Lakes region of the United States. Of the fifty states, it is the 34th largest by area, the seventh most populous, and the tenth most densely populated. The state's capital and largest city is Columbus. The state takes its name from the Ohio River, whose name in turn originated from the Seneca word ohiːyo', meaning "good river", "great river" or "large creek". Partitioned from the Northwest Territory, Ohio was the 17th state admitted to the Union on March 1, 1803, and the first under the Northwest Ordinance. Ohio is historically know...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Management Director jobs
$123,779 to $167,374

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