Salary Company Skills How To Become Job Openings

Utilization Management Director jobs in Tennessee

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)

Recently Added Utilization Management Director jobs

C
UTILIZATION MANAGEMENT COORDINATOR
  • Compass Intervention Center
  • Memphis, TN FULL_TIME
  • Responsibilities

    Utilization Management Coordinator

    Compass Intervention Center is seeking a dynamic and talented Utilization Management Coordinator. Our mission is to provide superior behavioral healthcare services that patients recommend to family and friends; physicians choose for their patients; purchasers select for their clients; and employees are proud of. Compass Intervention Center believes and applies the following principles: service excellence, continuous improvement in measurable ways, employee development, ethical and fair treatment of all, teamwork, compassion, and innovation in service delivery. Visit our website at www.compassinterventioncenter.com.

    The Utilization Management Coordinator will possesses knowledge of psychiatric clinical diagnosis and the ability to articulate those indicators professionally. The Utilization Management Coordinator evaluates client medical records to determine severity of client’s illness and determining the appropriateness of level of care. Serves as liaison for clients and facility with insurance companies. Negotiates and advocates for client length of stay and level of care. Oversees utilization management activities with other departments to ensure reimbursement for services provided by the facility. The UM Coordinator has a working knowledge of all levels of care offered and appropriately manages client benefits. Working in Medical Records as well you will plans and manages the activities of the department in compliance with facility, state, federal and other accrediting and regulating agency requirements.

    Key Responsibilities Include

    To perform this job successfully, an individual must be able to perform each primary duty satisfactorily. The specifications listed below are representative of the knowledge, skill, and ability to meet the minimum requirements for this position.

    One of the nation’s largest and most respected hospital companies, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Steadily growing from a startup to an esteemed Fortune 500 corporation, UHS today has annual revenue nearing $10 billion. In 2017, UHS was recognized as one of the World’s Most Admired Companies by Fortune; ranked #276 on the Fortune 500, and listed #275 in Forbes inaugural ranking of America’s Top 500 Public Companies.

    Our operating philosophy is as effective today as it was 40 years ago: Build or acquire high quality hospitals in rapidly growing markets, invest in the people and equipment needed to allow each facility to thrive, and become the leading healthcare provider in each community we serve.

    Headquartered in King of Prussia, PA, UHS has more than 81,000 employees and through its subsidiaries operates more than 320 acute care hospitals, behavioral health facilities and ambulatory centers in the United States, Puerto Rico, the U.S. Virgin Islands and the United Kingdom.

    Qualifications

    Position Requirements:

    • MA/MSW or RN highly preferred / Bachelor’s degree in social science required.
    • Prior experience working with a psychiatric mental health population, preferably in an inpatient setting.
    • Valid TN RN license, LCSW, or LPC preferred.
    • Prefer knowledge of health information management and health care delivery systems, medical and psychiatric terminology, confidentiality and release of information laws, leadership skills and various computer and word processing programs.

    This Opportunity Provides The Following

    • *UHS is Challenging and rewarding work environment
    • Growth and development opportunities within UHS and its subsidiaries
    • Competitive Compensation
    • Excellent Medical, Dental, Vision and Prescription Drug Plan
    • 401k plan with company match
    • Generous Paid Time Off

    UHS is a registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a wholly-owned subsidiary of Universal Health Services, Inc. Universal Health Services, Inc. is a holding company and operates through its subsidiaries including its management company, UHS of Delaware, Inc. All healthcare and management operations are conducted by subsidiaries of Universal Health Services, Inc. To the extent any reference to "UHS or UHS facilities" on this website including any statements, articles or other publications contained herein relates to our healthcare or management operations it is referring to Universal Health Services' subsidiaries including UHS of Delaware. Further, the terms "we," "us," "our" or "the company" in such context similarly refer to the operations of Universal Health Services' subsidiaries including UHS of Delaware. Any employment referenced in this website is not with Universal Health Services, Inc. but solely with one of its subsidiaries including but not limited to UHS of Delaware, Inc.

    UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at UHS via-email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means.
  • 6 Days Ago
Apply this Job
U
UTILIZATION MANAGEMENT COORDINATOR
  • UHS
  • MEMPHIS, TN FULL_TIME
  • Responsibilities Utilization Management Coordinator Compass Intervention Center is seeking a dynamic and talented Utilization Management Coordinator. Our mission is to provide superior behavioral heal...
  • 7 Days Ago
Apply this Job
C
Utilization Management Assistant
  • CHI Memorial Chattanooga
  • Chattanooga, TN FULL_TIME
  • Overview CHI Memorial Hospital now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and Dignity Health is once again the only hospital in the Chattanooga area to be named a...
  • 19 Days Ago
Apply this Job
H
UTILIZATION REVIEW DIRECTOR
  • Hermitage Hall
  • Nashville, TN FULL_TIME
  • Responsibilities: Hermitage Hall (a UHS company) is one of Middle Tennessee's largest stand-alone psychiatric residential treatment Hospitals. Licensed by Tennessee Department of Mental Health and Sub...
  • 28 Days Ago
Apply this Job
U
UTILIZATION REVIEW DIRECTOR
  • UHS
  • NASHVILLE, TN FULL_TIME
  • Responsibilities Hermitage Hall (a UHS company) is one of Middle Tennessee's largest stand-alone psychiatric residential treatment Hospitals. Licensed by Tennessee Department of Mental Health and Subs...
  • 29 Days Ago
Apply this Job
H
Utilization Management Nurse (Gulf South Region)
  • Humana
  • Brentwood, TN FULL_TIME
  • Become a part of our caring community and help us put health first The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of m...
  • 10 Days Ago
Apply this Job
View All Utilization Management Director Jobs

Utilization Management Director jobs at Popular Companies

P
Managing Director
  • Principal Financial Group
  • Miami, FL
  • Managing Director - Miami; Principal Financial Network 42364 Sales Regular Full-Time Miami, Florida No A048000-West Cent...
  • 6/11/2024 12:00:00 AM
Apply this job
D
Managing Director, Conflict Management & Dispute Resolution
  • Dallas College
  • Dallas, TX
  • Position Summary The Managing Director of Conflict Management & Dispute Resolution will be responsible for effectively d...
  • 6/10/2024 12:00:00 AM
Apply this job
S
Managing Director
  • Selby Jennings
  • Miami, FL
  • Are you passionate about driving impactful change in infrastructure and sustainability? Do you thrive in dynamic environ...
  • 6/10/2024 12:00:00 AM
Apply this job
E
Managing Director
  • Experis
  • Winston-Salem, NC
  • Build your career with Experis, a ManpowerGroup company as we connect human potential to the power of business. Through ...
  • 6/9/2024 12:00:00 AM
Apply this job
N
Managing Director
  • NEWMARK
  • Dallas, TX
  • Job Description Newmark (NMRK) is one of the world's leading commercial real estate advisory firms. We provide a fully i...
  • 6/9/2024 12:00:00 AM
Apply this job
O
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 ...
  • 6/8/2024 12:00:00 AM
Apply this job
L
Managing Director Investment Management
  • Leadenhall Search & Selection
  • Leadenhall Search & Selection are currently recruiting for Directors and Partners on behalf of a global, fast-growing In...
  • 6/8/2024 12:00:00 AM
Apply this job
D
Senior Relationship Manager - Director - Managing Director
  • Deutsche Bank
  • Miami, FL
  • Job Description: Job Title Relationship Manager Corporate Title Director to Managing Director Location Miami, FL Overvie...
  • 6/7/2024 12:00:00 AM
Apply this job
View All Utilization Management Director Jobs

About Tennessee

Tennessee borders eight other states: Kentucky and Virginia to the north; North Carolina to the east; Georgia, Alabama, and Mississippi on the south; Arkansas and Missouri on the Mississippi River to the west. Tennessee is tied with Missouri as the state bordering the most other states. The state is trisected by the Tennessee River. The highest point in the state is Clingmans Dome at 6,643 feet (2,025 m). Clingmans Dome, which lies on Tennessee's eastern border, is the highest point on the Appalachian Trail, and is the third highest peak in the United States east of the Mississippi River. The ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Management Director jobs
$117,725 to $159,189

Most Popular Cities in Tennessee for Utilization Management Director Jobs

What does a Utilization Management Director do?

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