Director, Utilization Management – Post Acute Care
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Director of Utilization Management leading nationwide team for healthcare organization. Responsibilities include policy application, team performance, and budget management.
Responsibilities:
- Directs the utilization management team to ensure the appropriate application of policy procedures and processes
- Oversees and manages Utilization Operations specific to the daily operations of Utilization Management
- Leads utilization management team on performance, improvement, and career growth path considerations
- Reviews, analyzes, and reports on utilization trends, patterns, and impacts to deliver an effective utilization program
- Establishes policies and procedures that incorporate best practices
- Develops utilization management strategies and influences decisions by providing recommendations
- Responsible for components of the department’s budget while collaborating inter-departmentally with senior leadership
- Executes the overall strategy for onboarding, hiring, and training new utilization management team members
- Leads and champions change within scope of responsibility
Requirements:
- Requires a Bachelor's degree
- 7+ years of related experience, including prior management experience
- 4+ years management experience preferred
- Expert knowledge of industry regulations, policies, and standards preferred
- RN - Registered Nurse - State Licensure and/or Compact State Licensure preferred
Benefits:
- competitive pay
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- flexible approach to work with remote, hybrid, field or office work schedules
Similar Jobs
Client Director, GES
Client Director responsible for developing customer success plans and leading sales teams at Cisco's Global Enterprise Segment. Driving strategies for key customer outcomes and managing large accounts.
Associate Director, Commercial Training
Associate Director supporting sales effectiveness through high-quality training and development in biopharmaceutical company. Focusing on selling skills and commercial team success.
Director, Customer Reporting, Data
Director of Customer Reporting & Data at Redwood Logistics responsible for data product strategy and analytics across Managed Services. Leading customer-facing reporting initiatives and ensuring data quality governance.
Director of MRO and PD Services
Director overseeing MRO and PD Services, driving commercial growth and operational execution for a manufacturing solutions provider. Leading strategic partnerships and aligning service delivery with business outcomes.
Regional Business Director
Regional Business Director leading oncology sales team for Verastem Oncology. Responsible for strategic alignment and commercial execution in key markets across Western United States.
Chain Director
Chain Director responsible for sales and account management within Monster Brewing's national accounts. Leading a team to build customer relationships and drive business growth.
Senior Director, Professional Services
Senior Director at Kantata leading Professional Services for North America Enterprise segment. Overseeing delivery, managing consultants, and ensuring customer success in software implementations.
Associate Director, Product Experience
Associate Director for product experience managing digital touchpoints and user journeys at National University. Driving optimization, personalization, and innovation for prospective student engagement.
Associate Director, Patient Engagement
Associate Director overseeing patient engagement strategies at Elligo Health Research. Leading recruiting teams and ensuring optimal patient enrollment for clinical trials.
Director, Professional Services
Director of Professional Services leading global implementation team for aviation software company Veryon. Driving customer onboarding and scaling methodologies while leveraging AI technology.
Director, Patient Centered Outcomes Assessment
Senior Scientist leading patient-centered outcomes research at RTI Health Solutions. Responsible for project leadership, strategic direction, and ensuring client deliverables meet high scientific standards.
Director of Estimating – Life Sciences
Remote Director of Estimating leading estimating efforts for a high-profile life sciences client at Cumming Group. Driving client engagement and business development in a dynamic environment.
Director, Claims Field Leadership
Director of Claims Field Leadership at Allstate improving claim performance and customer outcomes. Leading large teams and developing operational strategies for processes and technology.
Associate Director, Advanced Practice Provider
Associate Director leading Advanced Practice Providers in virtual care at CenterWell. Overseeing quality outcomes, patient experience, and operational performance.
Director, Global Benefits
Global benefits leader focusing on strategy, design, and governance of employee benefits at Kyndryl. Collaborating with HR, finance, and suppliers to ensure compliance and enhance employee experience.
Director, Strategic Accounts
Director of Strategic Accounts at Siena managing high-value customer portfolios. Driving commercial outcomes and collaborating across teams to enhance business relationships.
Infrastructure Projects Director
Infrastructure Projects Director responsible for leading infrastructure projects at JLL. Collaborating with stakeholders and managing project lifecycles in a dynamic team environment.
Director, Inner City Capital Connections
Director leading and growing Inner City Capital Connections program for small business owners in underserved communities. Overseeing recruitment, partnerships, program delivery, and stakeholder engagement to drive impact.
Senior Training Director, Physician & App Solutions
Senior Training Director developing and executing learning strategies for the Locums business at a $8B workforce solutions company. Leading scalable training to align with business objectives and drive success.
Claims Technical Director – Management Liability
Claims Technical Director handling D&O, EPL, and Financial Institution claims for a specialty insurance company. Ensuring strategic claim settlements and compliance in the Management Liability line.