Utilization Review Director Salary in United States

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Average Salary for Utilization Review Director in United States

The average salary of a(n) Utilization Review Director in United States is $72,248.

The average hourly rate of a(n) Utilization Review Director in United States is $34.73.

The average bonus of a(n) Utilization Review Director in United States is $3,251.00.

Job Description:

Coordinates and supervises all phases of Utilization Review and Social Services. Plans and directs the operational activities of the Utilization Review and Social Services Departments, assuming responsibilities for quality and productivity of utilization review and discharge planning. Coordinates, facilitates, and integrates high quality, cost-effective care delivered to individuals or groups of patients across an episode of illness or throughout the continuum of care. Assesses, plans, intervenes, and evaluates clinical outcomes. Performs concurrent review of patients' medical records for medical necessity, appropriateness of setting, assessment of the quality of medical care, and the tracking/trending of these activities. Directs the patient complaint and quality management program. Monitors utilization activities and tracks and reports data. Maintains relationships with physicians, department heads, administrators, and clinical coordinators to support intra-departmental goals. Supervises staff. Less

Coordinates and supervises all phases of Utilization Review and Social Services. Plans and directs the operational activities of the Utilization Review and Social Services Departments, assuming responsibilities for quality and productivity of utilization review and discharge planning. Coordinates, facilitates, and... More

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RN or SW Field Service Coordinator - Honolulu, HI - Honolulu, HI

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Experience in utilization review, concurrent review and/or risk management. Interacting with Medical Directors on challenging cases....

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Director of Nursing -Skilled Nursing or Transitional Care RN - Ormond Beach, FL

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Director of Nursing Transitional Care Unit (TCU) or Skilled Nursing. The Director of Nursing (TCU) participates as a member of the management team in planning,...

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SW or RN Secondary Reviewer - Albuquerque, NM - Albuquerque, NM

UnitedHealth Group

Background in Utilization Management. Completes the following types of attendant care service reviews:. Effectively utilizes tasking queue and process to...

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Utilization Management Consultant, RN - Pasadena, CA

Kaiser Permanente

Oversees adherence to quality of care and utilization standards by reviewing documentation and analysis of utilization data....

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RN Director of Utilization Management - Chicago (Cigna-HealthSpring) - Chicago, IL

Cigna

Oversee the utilization review process to ensure accurate and timely prior authorizations, concurrent and retrospective review activity....

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