Utilization Management Director
2 days ago
**Job Summary:**
We are seeking a highly skilled Utilization Management Director to oversee the day-to-day operations of the Utilization Management Program in the Service Area or a Medical Center. As a key member of our team, you will be responsible for ensuring cost-effective and quality patient care by optimizing resource utilization.
**Key Responsibilities:**
- Develop and maintain policies and procedures for the Service Area or Medical Center related to Utilization Management.
- Collaborate with multi-disciplinary teams to plan and coordinate care across the continuum.
- Coordinate and manage member care with non-Kaiser Permanente hospital facilities and providers.
- Identify risk management and quality of care issues across the continuum.
- Manage the transportation program to ensure appropriate resource utilization.
**Requirements:**
- Three (3) years of experience in utilization management and discharge planning in an acute care setting, including supervisory or management experience.
- BSN or bachelor's degree in a healthcare-related field such as management or health services administration.
- Registered Nurse License (California)
**Additional Requirements:**
- Demonstrated knowledge of operations and healthcare management, including TJC, Title XXII, Medicare, Medi-Cal, and other local, state, and federal regulations.
- Knowledge of managed care operations.
- Interpersonal, negotiation, and management skills.
**What We Offer:**
We offer a competitive salary range of **$120,000 - $180,000** per year, based on experience, as well as a comprehensive benefits package, including health, dental, and vision insurance, retirement savings plan, and paid time off. Located in San Diego, California, we offer a dynamic work environment and opportunities for growth and development.
**Why Kaiser Permanente:**
We are a leader in integrated healthcare, committed to delivering high-quality, patient-centered care. Our team of dedicated professionals is passionate about making a difference in the lives of our members and the communities we serve.
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