Top 212 Dir utilization review / mgmt Jobs in Colorado Springs, Co

DIR - UTILIZATION REVIEW / MGMT
Cedar Springs Hospital —Colorado Springs, CO
- $85,000 - $120,000 a year
- Full-time
- CPR Certification
- Nursing
- RN License
22h
Assistant Director of Nursing
Mountain Springs Recovery —Monument, CO
- $91,500 - $100,000 a year
- Full-time
- Nursing
- RN License
- Mid-level
- Paid holidays
- Health insurance
Physical Therapist Serving as Clinic Director
Colorado Springs Orthopaedic Group —Colorado Springs, CO
- From $100,000 a year
- Full-time
- Background check
- Doctoral degree
- Customer service
- Paid holidays
- Health insurance
Quick Apply
Director, Revenue Cycle
Ascend Clinical —Colorado Springs, CO
- $130,000 - $160,000 a year
- Full-time
- 5 years
- HIPAA
- Finance
- Paid holidays
- Disability insurance
Quick Apply
Activities Director
Medallion Post Acute and Rehabilitation —Colorado Springs, CO
- $25 - $30 an hour
- Full-time
- Experience working with individuals with disabilities
- Mid-level
- In-person
- Health savings account
- Health insurance
Quick Apply
8d
Physical Therapist Center Therapy Director
Concentra —Colorado Springs, CO
- $95,000 - $115,000 a year
- Full-time
- Bachelor of Science
- Physical & Rehabilitation Medicine
- HIPAA
- Commuter assistance
- Health savings account
7d
Executive Director CCRC
Brookdale Senior Living Inc. —Colorado Springs, CO
- $160,000 - $200,000 a year
- Nights as needed
- 7 years
- Skilled nursing facility
- Writing skills
- Health savings account
- Paid holidays
Quick Apply
Executive Director LUXURY Senior Living Community/Relocation Options
A&E Healthcare —Colorado Springs, CO
- $190,000 - $200,000 a year
- Full-time
- No background check
- Bachelor's degree
- Apartments
- Relocation assistance
- Health insurance
Quick Apply
16h
Preschool Assistant Program Director
Little Sunshine's Playhouse —Colorado Springs, CO
- $55,000 a year
- School experience
- Classroom
- Sales
Quick Apply
4d
Child Care Center Director
The Learning Experience - Colorado Springs, CO (Cimarron Hills) —Colorado Springs, CO
- $70,000 - $80,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Paid holidays
- Health insurance
Quick Apply
Facilities Management Director
Brookdale Senior Living Inc. —Colorado Springs, CO
- $72,220 - $92,000 a year
- Nights as needed
- 5 years
- Engineering
- Ability to lift 50 pounds
- Health savings account
- Paid holidays
Quick Apply
2d
Senior Clinical Research Director (SCRD)
Henry M. Jackson Foundation —Colorado Springs, CO
- $120,600 - $180,000 a year
- Full-time
- Senior level
- Health insurance
- Dental insurance
Director, Quality & Regulatory- Mergers & Acquisitions (M&A)
Philips —Colorado Springs, CO
- $162,000 - $258,000 a year
- Full-time
- 11+ years
- Office
- Travel
- Health savings account
- Employee stock purchase plan
Director Quality & Patient Safety Officer
Penrose Hospital —Colorado Springs, CO
- $55.61 - $96.63 an hour
- Full-time
- Acute care
- Management
- Master's degree
- Relocation assistance
Director, Pricing & Contracting - Image Guided Therapy Devices (Colorado Springs CO or Plymouth MN)
Philips —Colorado Springs, CO
- $145,000 - $290,000 a year
- Full-time
- Sales
- Office
- Master's degree
- Health savings account
- Employee stock purchase plan
Program Director of Health Sciences Simulation
Pikes Peak State College —Colorado Springs, CO
- $80,000 a year
- Online Application
- Doctoral degree
- Microsoft Office
- University
- Dental insurance
- Tuition reimbursement
Quick Apply
2d
Evaluation and Research Director, USAFA
Yorktown Systems Group —Colorado Springs, CO
- Full-time
- 8 years
- Analysis skills
- Travel
Assistant Director of Development
University of Colorado —Colorado Springs, CO
- $20,000 - $61,121 a month
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Paid jury duty
- Paid parental leave
Medical Director
ROCKY MOUNTAIN HEALTH CARE SERVICES —Colorado Springs, CO
- $250,000 - $275,000 a year
- Full-time
- Medicine
- Skilled nursing facility
- Geriatrics
- Wellness program
- Health savings account
Quick Apply
3d
Director of Choice & Enrollment Colorado School District 11
Colorado Springs School District 11(co) —Colorado Springs, CO
- $102,649 - $115,600 a year
- 8 hour shift
- Computer science
- Computer Science
- Office

I want to receive the latest job alert for dir utilization review / mgmt in colorado springs, co

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

dir utilization review / mgmt jobs near colorado springs, co

Utilization Review Nurse jobs in Colorado Springs, CO

Director Of Science jobs in Colorado Springs, CO

Physical Therapist jobs in Colorado Springs, CO

Child Care Center Director jobs in Colorado Springs, CO

Development Director jobs in Colorado Springs, CO

Activities Director jobs in Colorado Springs, CO

Safety Officer jobs in Colorado Springs, CO

Medical Director jobs in Colorado Springs, CO

Preschool Director jobs in Colorado Springs, CO

Researcher jobs in Colorado Springs, CO

Director Of Nursing jobs in Monument, CO

Director jobs in Colorado Springs, CO

Facilities Manager jobs in Colorado Springs, CO

Outpatient Nurse jobs in Tampa, FL

Utilization Review Nurse jobs in Bradenton, FL

Utilization Review Nurse jobs in Vermont

Utilization Review Therapist jobs in Atlanta, GA

Utilization Review Nurse jobs in Emory, GA

Movie Review jobs in Remote

Utilization Management jobs in California

DIR - UTILIZATION REVIEW / MGMT

Cedar Springs Hospital -
Colorado Springs, CO

Apply Now

Job Details

Full-time
$85,000 - $120,000 a year
22 hours ago

Qualifications

Behavior management
Risk management for crisis intervention support
Clinical crisis intervention assessment
Maintaining patient confidentiality
Bachelor's degree
Patient interaction

Full Job Description

Responsibilities:

Position Summary:

The Director of Utilization Review is responsible for directing and overseeing the Utilization Program for Inpatient and Outpatient services. This includes the implementation of case management scenarios, consulting with all services to ensure the provision of an effective treatment plan for all patients, oversees the response to requests for services and interfaces with managed care organizations, external reviewers, and other payors.

Qualifications:

Masters Degree Preferred, Bachlors Degree Requied. State of Colorado licensure as LLP, LPC, LLPC LMSW, LLMSW, or Registered Nurse
Basic Life Support and CPR Certification, can be obtained at orientation. CPI Certification, can be obtained at orientation.

Strong knowledge of crisis intervention, risk assessment, and behavior management. 5. Maintain confidentiality of sensitive and complex information.
Knowledge of psychiatric symptomology and diagnosis, and basic chemical dependency. 6. Strong knowledge of medical and psychiatric criteria for various levels of care.
The ability to effectively communicate to a variety of stakeholders including patients, family members, co-workers, Department Supervisors, Physicians, etc.

Supervises, Directs, and evaluates the work performance of UR staff, whose duties include: Complete continued stay reviews with external review agencies as indicated, Maintain Utilization Management files and logs in a neat, accurate and orderly form, Provides feedback to clinical team regarding documentation, medical necessity criteria and patients’ benefits, Provides timely notification of denials and accurate MIDAS entries/reports, Advocates on behalf of the patient and the hospital.
Prioritizes and coordinates daily UM workload, ensures appropriate staffing levels, and covers caseloads of staff as needed.
Completes continued stay reviews as needed.
Reviews all cases for days that were not authorized to determine appeal options.
Conducts routine chart audits or as indicated.
Collaborates with the business office to coordinate the appeals process, writes appeal letters and processes appeals in a timely manner.
Provides documentation training to all new employees and current employees on an as needed basis.
Provides Utilization Management consultations to UM department and other hospital departments as needed. Including committee membership, audits and reports as requested.
Chairs the UM Committee and participates in meetings as needed and required.
Promotes a positive work environment, encourages staff development, provides timely and meaningful recognition that promotes job satisfaction and retention.
Performs other duties as assigned/required by this position.

Occupation that requires, or may require, employees to handle human blood and other potentially infectious materials, which may result in possible exposure to bloodborne pathogens.

 Equal Employment Opportunity
It is the policy of the facility to provide equal opportunity in employment to all employees and applicants for employment. No person will be discriminated against in employment based on race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state, or local laws.

 Americans with Disabilities Act
Applicants as well as employees who are or become disabled must be able to perform the essential job functions either unaided or with reasonable accommodation. The organization shall determine reasonable accommodation on a case-by-case basis in accordance with applicable law.

 Service Excellence.
Service excellence is a part of all we do. Our standards include:
 Treat everyone as a guest by making a good first impression, anticipating needs and displaying service recovery skills.
 Demonstrate professionalism and excellence by looking professional, being accountable for actions and delivering excellence in our everyday work.
 Practice teamwork by participating in decision making and process improvement, communicating effectively and focusing on the problem/issue, not the person.

Salary: Starting from $85,000.00 to $120,000.00 a year

Apply Now

Refine Your Search

dir utilization review / mgmt jobs in colorado springs, co

DIR - UTILIZATION REVIEW / MGMT

Assistant Director of Nursing

Physical Therapist Serving as Clinic Director

Director, Revenue Cycle

Activities Director

Physical Therapist Center Therapy Director

Executive Director CCRC

Executive Director LUXURY Senior Living Community/Relocation Options

Preschool Assistant Program Director

Child Care Center Director

Facilities Management Director

Senior Clinical Research Director (SCRD)

Director, Quality & Regulatory- Mergers & Acquisitions (M&A)

Director Quality & Patient Safety Officer

Director, Pricing & Contracting - Image Guided Therapy Devices (Colorado Springs CO or Plymouth MN)

Program Director of Health Sciences Simulation

Evaluation and Research Director, USAFA

Assistant Director of Development

Medical Director

Director of Choice & Enrollment Colorado School District 11

I want to receive the latest job alert for dir utilization review / mgmt in colorado springs, co

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected