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)
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:
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.