Medical Director Utilization Management

Welcome to Huntington Hospital, where we pride ourselves on providing exceptional healthcare services to our community. We are currently seeking a highly qualified and experienced Medical Director of Utilization Management to join our team. As the Medical Director, you will play a crucial role in ensuring the efficient and effective utilization of our resources, while maintaining the highest level of patient care. We are looking for a dynamic leader with a strong background in utilization management and a passion for delivering quality healthcare. If you are dedicated, compassionate, and driven to make a positive impact in the lives of others, we encourage you to apply for this exciting opportunity.

• Develop and implement utilization management policies and procedures in accordance with industry standards and best practices
• Oversee the utilization management team and provide guidance and support in their daily activities
• Collaborate with various departments, including nursing, case management, and finance, to ensure efficient utilization of resources
• Monitor and evaluate utilization data to identify areas for improvement and make recommendations for process enhancements
• Serve as a liaison between the utilization management team and medical staff to ensure compliance with medical necessity and appropriateness of care guidelines
• Conduct regular audits and reviews to ensure adherence to utilization management protocols and identify any potential issues or areas for improvement
• Stay updated on industry trends and changes in regulations related to utilization management to ensure compliance and inform necessary updates to policies and procedures
• Provide leadership and direction to the utilization management team, including training and development opportunities, to promote a high-performing and engaged team
• Collaborate with the Quality Improvement team to develop initiatives and strategies to improve the overall quality of patient care
• Act as a representative of the hospital in professional meetings and conferences related to utilization management and healthcare quality improvement.

According to JobzMall, the average salary range for a Medical Director Utilization Management in Pasadena, CA, USA is $222,500 - $295,000 per year. This range may vary depending on the specific organization, years of experience, and other factors.

Huntington Memorial Hospital is a 619-bed not-for-profit hospital in Pasadena, California.