Utilization Manager

The Duke University Health System is seeking a highly organized and motivated Utilization Manager to join its team. This individual will be responsible for ensuring our utilization management program is effective and efficient, while also providing quality care to our patients. Our ideal candidate has a deep understanding of utilization management, health care operations, and regulations, and is passionate about improving the health of our patients.The successful Utilization Manager must bring a combination of strong leadership and problem-solving skills, as well as an understanding of health care reimbursement methodologies and payer regulations. Additionally, they must be able to effectively collaborate with multiple departments and stakeholders throughout the organization. This role requires attention to detail, excellent communication and organizational skills, and the ability to deliver results in a timely manner. If you have a passion for health care operations and are looking to make a positive impact at Duke University Health System, we want to hear from you!

Responsibilities of the Utilization Manager:

1. Manage utilization management program to ensure it is effective and efficient.
2. Provide quality care to patients.
3. Demonstrate strong leadership and problem-solving skills.
4. Maintain an understanding of health care reimbursement methodologies and payer regulations.
5. Collaborate with multiple departments and stakeholders throughout the organization.
6. Ensure attention to detail and timely completion of tasks.
7. Communicate effectively with other departments and stakeholders.
8. Monitor and analyze utilization trends.
9. Develop and implement strategies for improving utilization management program.
10. Train staff on utilization management policies and procedures.

According to JobzMall, the average salary range for a Utilization Manager in Durham, NC, USA is $68,000 - $84,000 per year. This range may vary depending on the employer and the individual's experience and qualifications.

Duke Health integrates the Duke University Health System (all of our hospitals and clinics), Duke University School of Medicine, Duke-NUS Medical School, Duke University School of Nursing, Private Diagnostic Clinic (Duke physicians practice), and incorporates the health and health research programs within the Duke Global Health Institute as well as those in schools and centers across Duke University, including the Duke Robert J. Margolis Center for Health Policy.