Director-Utilization Management
Director-Utilization Management
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Monitor utilization of services and optimize reimbursement of the facility while maximizing use of the patients provider benefits for their needs.
Conducts and oversees concurrent and retrospective reviews for all patients.
Act as a liaison between Medicaid reviewers and the staff to provide optimal review based on patient needs.
Collaborates with ancillary services in order to prevent delays in services.
Evaluates the UM program for compliance and regulations policies and procedures.
May review charts and make necessary recommendations to the physicians regarding utilization review and specific managed care issues.
provide staff management to include hiring development training and performance management and communication to ensure effective department operation.
Required Experience:
Director
Employment Type
Full-Time
