Director of Utilization and Needs Assessment

WDP Healthcare; El Paso (TX); Presencial; USD 120.000 - 180.000; Jornada completa

Descripción de la vacante

SmartRecruiters, Inc. is seeking a Director of Utilization and Needs Assessment to lead the hospital's utilization management and needs assessment programs, directing admissions appropriateness, concurrent and retrospective reviews, and collaboration with medical staff and regulators.

The role requires at least three years directing utilization in healthcare, a BSN or health-related degree, and strong leadership, negotiation, and communication skills; a Master's is preferred.

Formación

• Minimum three years directing utilization management in healthcare.
• Knowledge of Medicare, Medi-Cal and other regulations.
• Strong leadership, negotiation and communication abilities.

Responsabilidades

• Provides direction and monitoring of utilization programs to meet goals.
• Serves as a resource to medical staff and regulators on utilization matters.
• Analyzes utilization trends and reports to committees.
• Hires, coaches, and disciplines staff; conducts training on utilization management.
• Ensures compliance with federal, state and internal standards.

Conocimientos

Leadership

Negotiation

Interpersonal skills

Regulatory knowledge

Educación

BSN or bachelor's degree in health care related field

Master's degree preferred

Descripción del empleo

Director of Utilization and Needs Assessment

We are a full service recruiting company, retained to find candidates in the Behavioral Health field.

Director of Utilization and Needs Assessment Develops, manages and directs the Utilization Management program and Needs Assessment in a Behavioral Hospital. Develops and manages programs that emphasize appropriate admissions as well as concurrent and retrospective review of care.

Essential Functions:

• Provides overall direction, development implementation and monitoring of utilization programs to meet the Hospital's utilization goals while maintaining customer satisfaction.
• Acts as a resource to the medical staff, administrative staff, divisional and external regulatory agencies in all issues relating to utilization management within the Hospital.
• Analyzes and reports significant utilization trends, patterns, and impact to appropriate departmental and medical staff committees.
• May serve as contract liaison for the Hospital on issues pertaining to new or existing contracts with outside vendors.
• Develops, monitors and controls department's budgets.
• Assures compliance with Federal, State and other regulatory agencies and internal standards and requirements.
• Hires, coaches, trains and disciplines staff to ensure smooth operations in utilization management.
• Also facilitates educational training for medical staff on issues related to utilization management.

Experience

• Minimum three (3) years of experience in directing utilization management and needs assessment in a healthcare setting.

Education

• BSN or bachelor's degree in health care related field such as management, health services administration.

Clinical License

Additional Requirements:

• Demonstrated knowledge of operations and healthcare management; Medicare, Medi-Cal and other local, state and federal regulations.
• Knowledge of Behavioral Healthcare operations.
• Demonstrated interpersonal, negotiation, and leadership skills.
• Effective oral and written communication skills.

Preferred Qualifications:

• Master's degree in a related field such as nursing, business or health services administration preferred.

IF YOU DO NOT MEET THE ABOVE REQUIREMENTS YOU WILL NOT BE CONSIDERED FOR THIS ROLE.