Director of Utilization and Case Management

4 weeks ago


Houston, Texas, United States Universal Health Services Full time
Job Summary

Universal Health Services is seeking a highly skilled Director of Utilization and Case Management to join our team. This is a challenging and rewarding role that requires strong leadership and management skills, as well as a deep understanding of the healthcare industry.

Key Responsibilities
  • Direct and oversee the Utilization Management programs for Inpatient and Outpatient services.
  • Implement case management scenarios and consult with all disciplines to ensure effective treatment plans for patients.
  • Oversee responses to requests for services and interface with managed care organizations, external reviewers, and other payors.

Requirements
  • Degree in nursing, social work, mental health/behavioral sciences, or related field required; Master's Degree preferred.
  • A minimum of five (5) years direct clinical experience in a psychiatric or mental health treatment setting, including one (1) year in a management or supervisory capacity.
  • Licensure: L.V.N., R.N., L.P.C., L.M.S.W. or applicable license.

About Us

Universal Health Services is one of the nation's largest and most respected providers of hospital and healthcare services. We have a strong commitment to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. We believe that diversity and inclusion among our teammates is critical to our success.

What We Offer
  • Competitive Compensation
  • Excellent Medical, Dental, Vision and Prescription Drug Plan
  • 401k plan with company match
  • Generous Paid Time Off
  • SoFi Student Loan Refinancing Program
  • Career development opportunities within UHS and its 300+ Subsidiaries


  • Houston, Texas, United States UHS Full time

    Job Summary: We are seeking a highly skilled Director of Utilization and Case Management to join our team at Behavioral Hospital of Bellaire. As a key member of our leadership team, you will be responsible for directing and overseeing the Utilization Management programs for Inpatient and Outpatient services. This includes implementing case management...


  • Houston, Texas, United States Offshore Staffing Full time

    Job DescriptionThe Director of Case Management is responsible for overseeing the implementation of the case management program at the local level. The program consists of care facilitation, utilization management, case management, and discharge planning.Key Responsibilities:Develop and implement systems and processes for care/utilization management and...


  • Houston, Texas, United States Scott & Crosby Staffing, Inc. Full time

    Job DescriptionThe Director of Case Management is responsible for overseeing the implementation of the case management program at the local level. This role involves developing systems and processes for care/utilization management and discharge planning at the hospital level.The Director is responsible for managing the department's activities related to...


  • Houston, Texas, United States Scott & Crosby Staffing, Inc. Full time

    Job Title: Director of Case ManagementJob Summary: We are seeking a highly skilled and experienced Director of Case Management to lead our case management program at the local level. The successful candidate will be responsible for implementing and overseeing the program, ensuring that hospital resources are used effectively and efficiently. The Director...


  • Houston, Texas, United States Offshore Staffing Full time

    Job DescriptionThe Director of Case Management is responsible for the implementation of the case management program at the local level. The program consists of care facilitation, utilization management, case management, and discharge planning. The Director is accountable for developing systems and processes for care and utilization management and discharge...


  • Houston, Texas, United States Scott & Crosby Staffing, Inc. Full time

    Job SummaryThe Director of Case Management is responsible for overseeing the implementation of the case management program at the local level, ensuring that hospital resources are used effectively and efficiently.Key ResponsibilitiesDevelop and implement systems and processes for care/utilization management and discharge planningManage the department's...


  • Houston, Texas, United States Scott & Crosby Staffing, Inc. Full time

    Job Title:Director of Case Management OperationsJob Summary:The Director of Case Management Operations is responsible for leading the development and implementation of the case management program at the local level. This includes overseeing the collection, analysis, and reporting of financial and quality data related to utilization management, quality...


  • Houston, Texas, United States Offshore Staffing Full time

    Job Title: Director of Case ManagementThe Director of Case Management is a key leadership position responsible for overseeing the implementation and management of the case management program at the local level. This role requires a strong understanding of case management principles, practices, and regulations.Key Responsibilities:Develop and implement case...


  • Houston, Texas, United States Healthcare Staffing Plus Full time

    Job Title: Permanent - Administrative Director of Care Management - BSN or LCSWThe Director of Care Management is responsible for overseeing the implementation of the case management program at the local level, working closely with Directors of Case Management. The program consists of Care Facilitation, Utilization Management, Case Management, and Discharge...


  • Houston, Texas, United States Amergis Full time

    Job Summary:Amergis is seeking a skilled Utilization Management Clinical RN to join our team. As a key member of our team, you will be responsible for analyzing submitted information, creating case summaries, and collaborating with medical directors to ensure accurate and timely decision-making.Responsibilities:Analyze clinical assessments, treatment plans,...


  • Houston, Texas, United States FTI Consulting Full time

    About the RoleThis Director position is a key member of FTI Consulting's Technology practice, responsible for managing multiple aspects of specific client matters. Our practice provides professional consulting services to corporations and law firms for coordinating document review and production using Relativity and/or Nuix Discover.Key...


  • Houston, Texas, United States Steward Health Care Full time

    Job Title: Care Management DirectorSt. Joseph Medical Center is seeking a highly skilled Care Management Director to join our team. As a key member of our Care Management Department, you will be responsible for overseeing the daily operations of the department, including employee supervision, management, and training, as well as data research and...

  • Case Aide/Mentor

    4 weeks ago


    Houston, Texas, United States Boys and Girls Country of Houston Full time

    Job SummaryThe Case Aide/Mentor will provide support and guidance to young adults in the College and Career program, helping them navigate campus life, community involvement, and academic pursuits. This role requires a strong team player with a genuine commitment to serving and nurturing students.Key ResponsibilitiesFacilitate a culture of academic...


  • Houston, Texas, United States Steward Health Care Full time

    Job Title: Care Management DirectorSt. Joseph Medical Center is seeking a highly skilled Care Management Director to join our team. As a key member of our Care Management Department, you will be responsible for overseeing the daily operations of the department, ensuring seamless coordination of patient care, and driving quality initiatives to achieve defined...


  • Houston, Texas, United States Texas Children's Hospital Full time

    Job SummaryWe are seeking a skilled Utilization Management Clinical RN to join our team. In this role, you will be responsible for providing precertification of inpatient hospitalizations and outpatient procedures, as well as conducting telephonic and concurrent reviews of inpatient hospitalizations and extended courses of outpatient treatment.Key...

  • Litigation Paralegal

    3 weeks ago


    Houston, Texas, United States Collier Legal Search Full time

    Job Title: Litigation Paralegal - Case Management ExpertAbout the Role:We are seeking a highly skilled Litigation Paralegal to join our team at Collier Legal Search. As a Litigation Paralegal, you will be responsible for managing and coordinating the progress of case files, including calendar deadlines, file maintenance, and participating in status...


  • Houston, Texas, United States Jaz Staffing Agency Full time

    About the JobThe Case Manager for The Texas Medical Center plays a vital role in supporting the physician, primary medical homes, and interdisciplinary teams. This position is responsible for facilitating patient care, enhancing the quality of clinical outcomes, and promoting patient satisfaction while managing the cost of care and providing timely and...

  • Case Manager

    3 weeks ago


    Houston, Texas, United States Memorial Hermann Health System Full time

    Job SummaryThe Case Manager position at Memorial Hermann Health System is a critical role that supports the physician, primary medical homes, and interdisciplinary teams in delivering high-quality patient care.The ideal candidate will have a strong background in nursing or social work, with experience in utilization management, case management, discharge...

  • Case Manager

    4 weeks ago


    Houston, Texas, United States Star of Hope Full time

    Job Summary: We are seeking a skilled Case Manager to join our team at Star of Hope. As a Case Manager, you will be responsible for managing the life cycle of our clients, including developing their short and long-term objectives, holding them accountable, and handling grievances and discipline. You will also be responsible for maintaining accurate records...


  • Houston, Texas, United States Memorial Hermann Health System Full time

    Job SummaryThe Memorial Hermann Health System is seeking a highly skilled and experienced Senior Case Manager/Team Lead to join our team. As a key member of our case management team, you will be responsible for promoting optimal clinical and resource outcomes for our patients.As a Senior Case Manager/Team Lead, you will work closely with our...