Director of Utilization Management & Care Optimization

Wellpath / Correct Care Solutions; Freehold (NJ); On-site; USD 199,992 - 249,995; Full time

Benefits offered by this job

Comprehensive benefits including medical, dental, vision

DailyPay – receive your money as you earn it

Tuition Assistance and dependent scholarships

Employee Assistance Program (EAP)

Company‑paid life insurance

Tax‑free Health Spending Account (HSA)

Wellness program: fitness memberships and product discounts

Job summary

A healthcare organization is seeking a Director of Utilization Management in Freehold, New Jersey. The role involves leading utilization review, managing staff, and ensuring quality patient care. Candidates must have an M.D. or D.O. along with at least one year of utilization management experience. Offering a competitive salary of $199,992 to $249,995, this position also includes comprehensive benefits and a relocation bonus to enhance your career in a mission-driven environment.

Qualifications

• One year of experience in utilization management is required.
• Experience in performance and/or quality improvement preferred.

Responsibilities

• Lead and oversee utilization review, case management, and quality improvement.
• Manage UM staff, including performance reviews and employee development.
• Evaluate and recommend policy improvements related to the utilization review system.

Skills

Communication skills

Organizational skills

Education

Medical Doctor (M.D.) or Osteopathic Doctor (D.O.)

Job description

A healthcare organization is seeking a Director of Utilization Management in Freehold, New Jersey. The role involves leading utilization review, managing staff, and ensuring quality patient care. Candidates must have an M.D. or D.O. along with at least one year of utilization management experience. Offering a competitive salary of $199,992 to $249,995, this position also includes comprehensive benefits and a relocation bonus to enhance your career in a mission-driven environment.