Director of Utilization Management - Jackson

Only for registered members Jackson, United States

5 days ago

Default job background

Job summary

The Director Utilization Management is responsible for oversight and management of all utilization review/case management activities for the facility's inpatient, partial hospitalization,
and outpatient programs.

This position oversees all aspects and daily processes of the Utilization Management department.

Conducts audits of all medical records to ensure criteria for admission and continued stay are met and documented
and ensures timely discharge planning.

  • Coodinates information between third party payers and medical/clinical staff members.

Lorem ipsum dolor sit amet
, consectetur adipiscing elit. Nullam tempor vestibulum ex, eget consequat quam pellentesque vel. Etiam congue sed elit nec elementum. Morbi diam metus, rutrum id eleifend ac, porta in lectus. Sed scelerisque a augue et ornare.

Donec lacinia nisi nec odio ultricies imperdiet.
Morbi a dolor dignissim, tristique enim et, semper lacus. Morbi laoreet sollicitudin justo eget eleifend. Donec felis augue, accumsan in dapibus a, mattis sed ligula.

Vestibulum at aliquet erat. Curabitur rhoncus urna vitae quam suscipit
, at pulvinar turpis lacinia. Mauris magna sem, dignissim finibus fermentum ac, placerat at ex. Pellentesque aliquet, lorem pulvinar mollis ornare, orci turpis fermentum urna, non ullamcorper ligula enim a ante. Duis dolor est, consectetur ut sapien lacinia, tempor condimentum purus.
Get full access

Access all high-level positions and get the job of your dreams.



Similar jobs

  • Work in company

    Utilization Management Nurse Consultant

    Only for registered members

    + Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members. · + Gathers clinical information and applies the appropriate clinical crit ...

    Jackson $26.01 - $68.55 (USD)

    1 week ago

  • Work in company

    Manager - Warehouse (Utility)

    Only for registered members

    We are seeking a Warehouse Manager to join and lead our operations team in Pearl, MS As a Warehouse Manager, you will lead and develop a high-performing team while driving change and improving operational efficiency. · ...

    Richland $66,857 - $86,913 (USD)

    1 month ago

  • Work in company

    Manager - Warehouse (Utility)

    Only for registered members

    We are seeking a Warehouse Manager to join and lead our operations team in Pearl, MS. As a Warehouse Manager, you will lead and develop a high-performing team while driving change and improving operational efficiency. · ...

    Richland Full time

    1 month ago

  • Work in company

    Manager - Warehouse (Utility)

    Only for registered members

    We are seeking a Warehouse Manager to join and lead our operations team in Pearl, MS As a Warehouse Manager you will lead and develop a high-performing team while driving change and improving operational efficiency You will establish strong communication practices engage employee ...

    Richland, MS

    1 month ago

  • Work in company

    EPC Construction Manager – Utility-Scale Solar

    Only for registered members

    The EPC Construction Manager is responsible for the safe, on-time, and on-budget execution of utility-scale solar photovoltaic · (PV) projects delivered under Engineering, Procurement, and Construction (EPC) contracts.This role oversees all on-site construction activities, subcon ...

    Jackson

    3 weeks ago

  • Work in company

    Perinatal Medical Director

    Only for registered members

    Provides medical oversight and expertise in appropriateness and medical necessity of services provided to members targeting improvements in efficiency and satisfaction for both members and providers. · ...

    Jackson $186,201 - $363,093 (USD)

    1 month ago

  • Work in company

    Case Manager

    Only for registered members

    The Case Manager directs the utilization review of patient charts, · treatment plans and discharge planning pertaining to the quality of care and treatment criteria for patients in a specific department. · ...

    Jackson

    2 weeks ago

  • Work in company

    Case Manager

    Only for registered members

    The Case Manager directs the utilization review of patient charts treatment plans and discharge planning pertaining to the quality of care and treatment criteria for patients in a specific department. · Directs the utilization review of patient charts and treatment plans pertaini ...

    Jackson Full time

    2 weeks ago

  • Work in company

    Experienced Case Manager

    Only for registered members

    The Case Manager directs the utilization review of patient charts, · treatment plans, · and discharge planning pertaining to the quality of care · and treatment criteria for patients in a specific department.The Case Manager specializes in the review of information pertaining spe ...

    Jackson

    1 week ago

  • Work in company

    Case Manager

    Only for registered members

    The Case Manager directs the utilization review of patient charts and treatment plans pertaining to the quality of care and treatment criteria for patients in a specific department. · Evaluates the quality of necessary medical services, utilizes criteria to determine medical nece ...

    Jackson

    1 month ago

  • Work in company

    Medical Director

    Only for registered members

    This position is a clinical leader for groups dedicated to the concurrent review, prior authorization, case management, and clinical coverage review. The Medical Director will collaborate with others across the organization's leadership team to improve health outcomes, reduce hea ...

    Jackson

    1 month ago

  • Work in company

    Experienced Case Manager

    Only for registered members

    The Case Manager directs the utilization review of patient charts, treatment plans, and discharge planning pertaining to the quality of care. Relies on education, experience, professional training and judgment to accomplish responsibilities. · Directs the utilization review of pa ...

    Jackson

    1 week ago

  • Work in company

    Warehouse Supervisor

    Only for registered members

    Supervises the timely receipt stocking order filling or shipment of merchandise. · ...

    Jackson

    1 month ago

  • Work in company

    Credit Analyst

    Only for registered members

    The Credit Analyst supports the Credit Department through the administration reconciliation and compliance management of Large Alliance customer accounts.This role assists with contract oversight account reconciliation collection efforts tax support and customer account setup whi ...

    Jackson

    1 week ago

  • Work in company

    Internal Medicine Physician

    VOHRA Wound Physicians

    Job Description: · Work at bedside treating wounds over 3200 facilities across 28 states · Utilize cutting-edge technologies and latest wound care modalities. · Become an expert in wound management through training from qualified wound certified physician trainers and Fellowship ...

    Jackson

    1 week ago

  • Work in company

    Clinical Pharmacist

    Only for registered members

    Plans and directs the clinical and operational activities of the Pharmacy Department. · ...

    Jackson Full time

    2 weeks ago

  • Work in company

    Distribution Designer

    Only for registered members

    This requisition may be filled as a Distribution Designer I, II, III, or Senior depending on the candidate's qualifications and experience. Responsible for meeting with customers to determine electric needs and requirements. Design jobs to install, · replace, · or remove distribu ...

    Jackson

    1 week ago

  • Work in company

    Travel Social Work Case Manager

    HumanEdge Travel Healthcare

    We are seeking a Social Work Clinic Case Management for travel job in Jackson, Mississippi. · Inpatient discharge planning and social work case managementManage caseload of approximately 15–20 patients/consults per dayCoordinate complex placements and transitions of care · ...

    Jackson Freelance

    1 day ago

  • Work in company

    RN I Case Manager

    Only for registered members

    +Support patients to which the RN-Case Manager I is assigned by facilitation of appropriate care coordination. The aim is to improve the efficiency in the delivery of care resulting in right care, right time, right place philosophy and practice using UMC nursing and case manageme ...

    Jackson

    1 month ago

  • Work in company

    Regional Talent Acquisition Manager

    Only for registered members

    The Regional Talent Acquisition Manager directs and manages day-to-day talent acquisition operations across multiple facilities within assigned geographic regions.This position provides regional leadership for recruitment strategies while ensuring effective practices throughout B ...

    Jackson

    1 month ago