Director Utilization Management-Clinical Review
Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We’re looking for qualified candidates like you to join our Texas Health family.
- Work location: Texas Health Resources, Arlington, TX
- Core work hours: Monday-Friday 8:00a-5:00p. This position is hybrid remote/onsite. Vast majority of time will be remote, but there will be ad hoc and required meetings onsite throughout the year.
Summary
The Director will be the department leader for system services for wholly owned and Partner hospitals for utilization management.
Job Duties
OPERATIONS:
Plans, organizes and delegates activities as required for safe, efficient and effective operation of the unit/area including active participation with other hospital and leadership staff to accomplish this purpose.
Demonstrates technical, practical and academic knowledge to manage the department.
Identifies and utilizes processes and resources that support optimal delivery of data and information to staff.
HUMAN RESOURCES:
Meets productivity standards and staffing needs.
Fosters a work environment favorable to retaining staff.
Responsible for personnel functions including staffing, performance reviews and corrective action.
Promotes professional growth and development of employees.
Maintains a predicable schedule, including time on and off shifts such as weekends and holidays.
Maintains collegial relationships with staff, physicians, other departments and Administration.
FISCAL MANAGEMENT:
Prepares operating and capital budgets for areas of responsibility.
Manages approved operating and capital budgets effectively and adjusts strategies as needed to meet budget expectations.
Identifies and evaluates patient care requirements and outcomes based upon patient acuity, system and budgetary guidelines.
CONTINUOUS IMPROVEMENT:
Develops, implements, monitors and assesses processes that impact patient outcomes.
Education
Bachelor’s Degree Nursing required
Master’s Degree preferred
Experience
3 years clinical experience in an acute hospital setting required
3 years Utilization Management required
3 years previous leadership experience required
Licenses and Certifications
RN – Registered Nurse Current license to practice professional nursing in the state of Texas required upon hire
ACM – Accredited Case Manager or CCM, CPHM or Milliman certification preferred upon hire
Skills
Strong analytical skills, collaboration skills, and oral and written communication skills. Proven leadership skills. Proven ability to develop innovative programs and services. Customer service orientation. Strong interpersonal skills. Well-developed organizational and planning skills. Ability to independently problem solves. Strong computer skills, including Microsoft Office Applications. Knowledge of industry and employment standards including TJC, CMS, HIPAA, TDH, ADA, DOL, and EEOC.
Why Texas Health?
At Texas Health Resources, our mission is “to improve the health of the people in the communities we serve”.
As part of the Texas Health family and its 28,000+ employees, we’re one of the largest employers in the Dallas Fort Worth area. Our career growth and professional development opportunities are top-notch and our benefits are equally outstanding. Come be a part of our exceptional team as we improve the health of the people in our communities every day. You belong here.
Learn more about our culture, benefits, and recent awards.
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Location: Arlington, TX US
Job ID: 25010198
Area of Interest: Leadership
Job Type: Full-time
Facility: Texas Health Resources 612 E. Lamar TX 76011
