Director of Utilization Management
17 hours ago
At VillageCare, we are seeking a highly skilled and experienced Director of Utilization Management to lead our team in driving operational efficiency and ensuring quality patient care.
Job SummaryThe Director of Utilization Management will oversee the utilization review process, collaborate with interdisciplinary teams to optimize patient care, and develop strategies to enhance operational efficiency. This role requires strong leadership skills, analytical expertise, and a commitment to excellence and integrity.
Key Responsibilities- Conduct utilization reviews and analyze data trends to identify areas for improvement
- Develop and implement utilization management programs that enhance cost efficiency and quality of care
- Lead a team of utilization management professionals and provide guidance on complex cases
- Communicate effectively with stakeholders and engage teams to identify educational needs and build training modules
To excel in this role, you must possess:
- Exceptional leadership skills to direct day-to-day operations effectively
- Proficiency in overseeing concurrent reviews, discharge planning, and prior authorization functions
- A strong background in developing and implementing utilization management programs
- Expertise in maintaining staff productivity, compliance, and training
- A Bachelor's Degree, with a Master's Degree preferred, and an active NYS (RN, NP, PA, or MD) license
- A minimum of 5 years of management experience in a health-related field, along with 3 years in a quality management position
VillageCare is a community-based, not-for-profit organization that values its team members. We offer a competitive salary range of $132,000-$148,000 annually, as well as a comprehensive benefits package, including a generous PTO package, 10 Paid Holidays, Personal and Sick time, Medical/Dental/Vision, HRA/FSA, Education Reimbursement, Retirement Savings 403(b), Life and Disability, Commuter Benefits, Paid Family Leave, and Additional Employee Discounts.
We believe in taking care of our team, both on and off the job. If you are a smart problem solver with a customer-centric approach and a commitment to excellence and integrity, we want to hear from you.
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