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    Director, Utilization Management - Satsuma, United States - Wellpath / Correct Care Solutions

    Wellpath / Correct Care Solutions
    Wellpath / Correct Care Solutions Satsuma, United States

    4 weeks ago

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    Description
    We're on a path to better healthcare.
    Join us

    Search by title, keyword or req #
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    State/Facility
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    Viewing:
    Director, Utilization Management

    You Matter


    • Make a difference every day in the lives of the underserved
    • Join a mission driven organization with a people first culture
    • Excellent career growth opportunities

    Join us and find a career that supports:

    • Caring for overlooked, underserved, and vulnerable patients
    • Diversity, equity, inclusion, and belonging
    • Autonomy in a warm team environment
    • Growth and training
    Perks and Benefits
    In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including:


    • DailyPay, receive your money as you earn it
    • Tuition Assistance and dependent Scholarships
    • Employee Assistance Program (EAP) including free counseling and health coaching
    • Company paid life insurance
    • Tax free Health Spending Accounts (HSA)
    • Wellness program featuring fitness memberships and product discounts
    • Preferred banking partnership and discounted rates for home and auto loans
    Why Us

    Now is your moment to make a difference in the lives of the underserved.

    If there is one unifying characteristic of everyone on our team, it is the deep desire to make a difference by helping society's most vulnerable and often overlooked individuals.

    Every day we have the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most.

    For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to "Always Do The Right Thing", and to collectively do our part to heal the world, one patient at a time.

    How you make a difference


    The Medical Director of Utilization Management leads and oversees utilization review, case management, quality improvement, and related policy and practice initiatives within their assigned area.

    They provide guidance and direction to medical staff in their efforts to ensure quality patient care and the appropriate utilization of medical services.

    The Medical Director of Utilization Management serves as a key liaison with external partners and stakeholders, and works collaboratively with internal teams to optimize care delivery and achieve operational goals.

    Key Responsibilities

    Ensure the use of nationally recognized criteria and evidence-based standards for inpatient concurrent reviews and offsite service requests.
    Manage UM staff including performance reviews, employee development, hiring, coaching, counseling, and retention.

    Lead UM process improvements, facilitate patient care goals, and utilize data research to reduce length of inpatient stays and decrease ED admissions.

    Evaluate and recommend policy improvement related to utilization review

    system, and

    provide UM updates and participate in meetings.

    Establish and monitor progress towards UM program goals, maintain offsite service and UM tracking/reporting, and facilitate regular meetings with partner hospital clinical regarding offsite services.

    Qualifications & Requirements

    Education
    Medical Doctor (M.D.) or Osteopathic Doctor (D.O.) from an accredited university
    Experience
    One (1) year of experience in utilization management is required.
    Excellent communication and organizational skills required.
    Experience in Performance and/or Quality Improvement preferred.
    Licenses/Certifications
    Current license in state of employment to practice medicine

    We are an Equal Employment Opportunity/Affirmative Action Employer We celebrate diversity and are committed to creating an inclusive environment for all employees.

    If you are excited about a role but your experience doesn't seem to align perfectly with every element of the job description, we encourage you to apply.

    You may be just the right candidate for this, or one of our many other roles.
    Not ready to apply?


    Sign up for Job Alerts and connect with us to be the first to hear about new opportunities by joining our job alert network.

    We asked Stephanie, Senior Director, State &

    Federal Talent Acquisition:
    #J-18808-Ljbffr

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