- 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
- Caring for overlooked, underserved, and vulnerable patients
- Diversity, equity, inclusion, and belonging
- Autonomy in a warm team environment
- Growth and training
- 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
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Director, Utilization Management - Satsuma, United States - Wellpath / Correct Care Solutions
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Description
We're on a path to better healthcare.Join us
Search by title, keyword or req #
Search by City, State
Within
State/Facility
Search by Job Family
Viewing:
Director, Utilization Management
You Matter
Join us and find a career that supports:
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:
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 ResponsibilitiesEnsure 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 reviewsystem, 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 & RequirementsEducation
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?
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