Talent.com
Director Utilization Mgmt (Relocation Bonus Available)
Director Utilization Mgmt (Relocation Bonus Available)Wellpath • Freehold, NJ, US
Director Utilization Mgmt (Relocation Bonus Available)

Director Utilization Mgmt (Relocation Bonus Available)

Wellpath • Freehold, NJ, US
[job_card.variable_hours_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

Job Description

Job Description

You Matter

  • Make a difference every day in the lives of the underserved
  • Join a mission driven organization with a people first culture
  • Excellent career growth opportunities

Join us and find a career that supports :

  • Caring for overlooked, underserved, and vulnerable patients
  • Diversity, equity, inclusion, and belonging
  • Autonomy in a warm team environment
  • Growth and training
  • Perks and Benefits

    In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including :

  • DailyPay, receive your money as you earn it!
  • Tuition Assistance and dependent Scholarships
  • Employee Assistance Program (EAP) including free counseling and health coaching
  • Company paid life insurance
  • Tax free Health Spending Accounts (HSA)
  • Wellness program featuring fitness memberships and product discounts
  • Preferred banking partnership and discounted rates for home and auto loans
  • Eligibility for perks and benefits varies based on employee type and length of service.
  • Why Us

    Now is your moment to make a difference in the lives of the underserved.

    If there is one unifying characteristic of everyone on our team, it is the deep desire to make a difference by helping society's most vulnerable and often overlooked individuals. Every day we have the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to “Always Do The Right Thing!”, and to collectively do our part to heal the world, one patient at a time.

    Wellpath sees hundreds of thousands of unique individuals in their facilities month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan.

    We offer ongoing training and development opportunities for licensed and unlicensed healthcare team members, and have best in class clinical resources for training, education, and point of care support.

    How you make a difference

    The Medical Director of Utilization Management leads and oversees utilization review, case management, quality improvement, and related policy and practice initiatives within their assigned area. They provide guidance and direction to medical staff in their efforts to ensure quality patient care and the appropriate utilization of medical services. The Medical Director of Utilization Management serves as a key liaison with external partners and stakeholders, and works collaboratively with internal teams to optimize care delivery and achieve operational goals.

    Key Responsibilities

  • Ensure the use of nationally recognized criteria and evidence-based standards for inpatient concurrent reviews and offsite service requests.
  • Manage UM staff including performance reviews, employee development, hiring, coaching, counseling, and retention.
  • Lead UM process improvements, facilitate patient care goals, and utilize data research to reduce length of inpatient stays and decrease ED admissions.
  • Evaluate and recommend policy improvement related to utilization review system, and provide UM updates and participate in meetings.
  • Establish and monitor progress towards UM program goals, maintain offsite service and UM tracking / reporting, and facilitate regular meetings with partner hospital clinical regarding offsite services.
  • Qualifications & Requirements

    Education

  • Medical Doctor (M.D.) or Osteopathic Doctor (D.O.) from an accredited university
  • Experience

  • One (1) year of experience in utilization management is required.
  • Excellent communication and organizational skills required.
  • Experience in Performance and / or Quality Improvement preferred.
  • Licenses / Certifications

  • Current license in state of employment to practice medicine
  • Additional Details

    This is on onsite role based in Lemoyne, Pennsylvania at our Regional Office.

    We are an Equal Employment Opportunity / Affirmative Action EmployerWe celebrate diversity and are committed to creating an inclusive environment for all employees.

    [job_alerts.create_a_job]

    Relocation Available • Freehold, NJ, US

    [internal_linking.similar_jobs]
    Director of FP&A

    Director of FP&A

    Vaco by Highspring • Howell, NJ, US
    [job_card.full_time] +1
    Energy / Utilities / Infrastructure.Our client is seeking an experienced and strategic.This leader will partner closely with senior executives, support regulatory and capital planning initiatives, ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Display Project Manager

    Display Project Manager

    Hire Score LLC • Somerset, NJ, US
    [job_card.full_time]
    Our client is a leading global in-store marketing firm designing, sourcing and producing LED retail fixtures - solutions designed and engineered internally with components manufactured in their own...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Associate Director, MSAT

    Associate Director, MSAT

    Lantheus • Springfield, NJ, United States
    [job_card.full_time]
    Lantheus (NASDAQ : LNTH) is the leading radiopharmaceutical-focused company, delivering life-changing science to enable clinicians to Find, Fight and Follow disease to deliver better patient outcome...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Outside Account Manager

    Outside Account Manager

    State Industrial Products • New Brunswick, NJ, US
    [job_card.full_time]
    Since 1911, State Industrial Products has helped customers "Care for Work Environments"®.Throughout the years, our main focus has been to help customers enhance building environments ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Funeral Director

    Funeral Director

    Cotton Funeral • Orange, NJ, US
    [job_card.full_time]
    Salary : depending upon experience.Multiple openings •Various locations.Provides customer service in all areas of funeral arrangements, cremation ceremonies and interment to assist families followin...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Medical Director, Hospice - Morristown, NJ

    Medical Director, Hospice - Morristown, NJ

    HealthEcareers - Client • Morristown, NJ, USA
    [job_card.part_time]
    Atlantic Health System is Seeking a Full-Time Medical Director for Hospice in Morristown, New Jersey.Atlantic Health System, a prominent non-profit healthcare network in New Jersey, is seeking a de...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Enterprise Account Director

    Enterprise Account Director

    Groupon • Newark, NJ, US
    [job_card.full_time]
    Groupon is a marketplace where customers discover new experiences and services everyday and local businesses thrive.To date we have worked with over a million merchant partners worldwide, connectin...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Locum Opportunity - Occupational Medicine - New Jersey

    Locum Opportunity - Occupational Medicine - New Jersey

    AMN Healthcare • Not Specified, New Jersey, United States
    [job_card.permanent]
    Location : Central New Jersey (greater Toms River, NJ area)Specialty : Occupational MedicineRequirements : Active NJ license, Active DEA, Active CDS, Board Certification REQUIRED Schedule : Mon-Fri (8 : ...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    MD / Internal Medicine Job in New Jersey / Locum tenens

    MD / Internal Medicine Job in New Jersey / Locum tenens

    KPS Physician Staffing • Not Specified, New Jersey, United States
    [job_card.permanent]
    A successful, well established group is looking for a board certified / eligible Internal Medicine physician to join their fantastic medical team. We are seeking someone with a good personality who ca...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Executive Director, CRM Adoption & Enablement

    Executive Director, CRM Adoption & Enablement

    Novartis Group Companies • East Hanover, NJ, United States
    [job_card.full_time]
    This position will be located at the East Hanover, NJ site and will not have the ability to be located remotely.Reporting into the VP, Head of CRM Product Management and Strategy, the Executive Dir...[show_more]
    [last_updated.last_updated_30] • [promoted]
    APPLIANCE MAINT

    APPLIANCE MAINT

    Leisure Village West Association • Whiting, NJ, US
    [job_card.full_time]
    Looking for a motivated full-time Appliance / HVAC repair tech to join our union shop.We are 55+ community located in Manchester Township. Experience with Appliance and Refrigeration Repair is requi...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Director of Occupational Medicine

    Director of Occupational Medicine

    Tandym Health • Livingston, NJ, US
    [job_card.full_time]
    A health services network in Essex County, NJ is actively seeking an Occupational Medicine Physician to join its team in Livingston. Monday to Friday standard business hours.Conduct pre-placement ph...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    MD / NP / PA

    MD / NP / PA

    Ivy Pediatrics, PA • East Brunswick, NJ, US
    [job_card.full_time] +1
    Well established multi-office pediatric practice looking for.Pediatric NP or PA to work either FT or part-time (30 hrs per week) in our East Brunswick office. Friendly pediatric specific EMR in use ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Director, Technical Program Management - Capital One Software (Remote)

    Director, Technical Program Management - Capital One Software (Remote)

    Capital One • Edison, NJ, United States
    [filters.remote]
    [job_card.full_time] +1
    Director, Technical Program Management - Capital One Software (Remote).Ever since our first credit card customer in 1994, Capital One has recognized that technology and data can enable even large c...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Vice President, Advanced Manufacturing Engineering

    Vice President, Advanced Manufacturing Engineering

    Telescope Recruitment • Somerset, NJ, US
    [job_card.full_time]
    Our employer, founded in 2000, is a leading provider of premium metal payment cards and secure authentication solutions.Headquartered in Somerset, New Jersey, the company serves major financial ins...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Director, Athletic Annual Giving and Leadership Gifts

    Director, Athletic Annual Giving and Leadership Gifts

    New Jersey Institute of Technology • Newark, NJ, United States
    [job_card.full_time]
    Director, Athletic Annual Giving and Leadership Gifts.Senior Vice President of Advancement.NJIT Departments of University Advancement and Athletics seeks a dynamic and strategic advancement profess...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Intake Specialist

    Intake Specialist

    Above and Beyond Therapy • Toms River, NJ, US
    [job_card.full_time]
    F31F; Client Intake Specialist – Above & Beyond Therapy.F4CD; On-site | Toms River, NJ | Full-time.As one of the fastest-growing ABA therapy providers in the country, we’re looking ...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Director, Alliance Management

    Director, Alliance Management

    Padagis • Edison, NJ, United States
    [job_card.full_time]
    As the Director, Alliance Management, you will be the primary commercial relationship lead for Padagis's emerging Contract Manufacturing and Private Label business. Your top priority will be buildin...[show_more]
    [last_updated.last_updated_30] • [promoted]