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Manager Utilization Management - Acute Care Experience Required
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$168,100 - $217,470 a year
Full-time
- Participates and provides UM expertise on local and regional committees, including UM Peer, UM Chiefs/Directors, Quality, TPMG, other departments and contracted/planned providers.
- Conducts utilization data analysis (avoidable days, readmissions, UMAB, PRS reports, one-day stays, DRGs, LOS, PDRs, etc.)
- Partners with the UM Chief and KFH/TPMG local medical center leadership, to engage the following areas in the development and implementation of a comprehensive utilization management work plan to meet or exceed medical center targets: Physicians, managers across the continuum, and TPMG/KFH service leaders and managers.
- Collaborates with interdisciplinary teams across the continuum of care including, but not limited to (HBS, TPMG Sub-specialty departments, Nursing, MSW, PT/OT, HH, Hospice, SNF, CCM, Behavioral Health, Rehabilitation, etc
- Partners with TPMG to provide UM related education and training as needed.
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