Utilization Review Director
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Job Description
About the Position: The Utilization Review (UR) Director will oversee and coordinate utilization review activities across multiple facilities statewide. This role ensures compliance with the 60-day Medicaid benchmark, provides leadership and guidance to UR Coordinators, standardizes UR procedures, aligns internal policies with TJC and CMS standards, and supports staff during transitions or departmental shortages.
Job Type/Salary:
- Application Period:10/01/2025 until filled
- Full-time
- Annual Salary is $56,800 - $65,000 depending on education and experience
- Primary Working Hours are M-F; 8-5
- FLSA Status: Exempt
- Bachelor’s degree, or an equivalent combination of education and professional-level experience (one year of experience may substitute for one year of education).
- Master’s degree with one year of professional experience; OR
- Bachelor’s degree with two years of professional experience; OR
- Equivalent combination of education and professional-level experience (one year of experience may substitute for one year of education).
- All safety-sensitive positions require drug and alcohol testing. Employment is contingent upon a negative test result.
- This agency provides coverage 24/7. Work hours and location may vary depending on business needs. Weekend and overtime work may be required.
- Reasonable accommodations for individuals with disabilities are available upon request.
- Equal Opportunity Employer.
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Automate your job search with Sonara.
Submit 10x as many applications with less effort than one manual application.
