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Utilization Management (UM) Director at Virginia Mason Medical Center - ApplyBlast

Utilization Management (UM) Director

Virginia Mason Medical Center

10 days ago

Utah

Onsite

Full Time

Director

0 applicants

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About this role

The Utilization Management (UM) Director serves as the strategic leader responsible for the development, implementation, and oversight of the Utilization Management program across Colorado, Kansas, and Utah. This role provides expert direction to staff while overseeing critical workflows, including inpatient admission reviews, continued stay assessments, and appeals management. The position focuses on translating organizational goals into actionable strategies to drive excellence in clinical care, operational outcomes, and regulatory compliance.

Responsibilities

Lead strategic development and oversight of utilization management programs
Ensure regulatory compliance and accreditation standards across multiple states
Analyze utilization trends and collaborate with leadership to reduce denials

Skills

Qualifications

Bachelor's degree in NursingBachelor's degree in Health Care Administrationadvanced clinical degreeMaster's degree in NursingMaster's degree in Health Care Administration