Director of Utilization
El Paso, TX · On-site
Direct and manage the day-to-day operations of the Utilization Review department. ESSENTIAL FUNCTIONS: * Monitor utilization of services and optimize reimbursement for the facility while maximizing ...
Director of Utilization
El Paso, TX · On-site
Direct and manage the day-to-day operations of the Utilization Review department. ESSENTIAL FUNCTIONS: * Monitor utilization of services and optimize reimbursement for the facility while maximizing ...
Director of Utilization
El Paso, TX · On-site
Direct and manage the day-to-day operations of the Utilization Review department. Responsibilities ESSENTIAL FUNCTIONS: * Monitor utilization of services and optimize reimbursement for the facility ...
Director of Utilization
El Paso, TX · On-site
Direct and manage the day-to-day operations of the Utilization Review department. Responsibilities ESSENTIAL FUNCTIONS: * Monitor utilization of services and optimize reimbursement for the facility ...
Director of Utilization
El Paso, TX · On-site
Direct and manage the day-to-day operations of the Utilization Review department. Responsibilities ESSENTIAL FUNCTIONS: * Monitor utilization of services and optimize reimbursement for the facility ...
Director of Utilization
El Paso, TX · On-site
Direct and manage the day-to-day operations of the Utilization Review department. Responsibilities ESSENTIAL FUNCTIONS: * Monitor utilization of services and optimize reimbursement for the facility ...
Director of Utilization
San Rafael, CA · On-site
$105K - $130K/yr
We are seeking a Director of Utilization Review to lead utilization management processes that support appropriate care delivery, regulatory compliance, and effective use of patient benefits. This ...
Director of Utilization
San Rafael, CA · On-site
$105K - $130K/yr
We are seeking a Director of Utilization Review to lead utilization management processes that support appropriate care delivery, regulatory compliance, and effective use of patient benefits. This ...
Director of Utilization
San Rafael, CA · On-site
$105K - $130K/yr
We are seeking a Director of Utilization Review to lead utilization management processes that support appropriate care delivery, regulatory compliance, and effective use of patient benefits. This ...
Director of Utilization
San Rafael, CA · On-site
$105K - $130K/yr
We are seeking a Director of Utilization Review to lead utilization management processes that support appropriate care delivery, regulatory compliance, and effective use of patient benefits. This ...
Director of Utilization
$105K - $130K/yr
We are seeking a Director of Utilization Review to lead utilization management processes that support appropriate care delivery, regulatory compliance, and effective use of patient benefits. This ...
Director of Utilization
$105K - $130K/yr
We are seeking a Director of Utilization Review to lead utilization management processes that support appropriate care delivery, regulatory compliance, and effective use of patient benefits. This ...
Director of Utilization Management Roles & Responsibilities: * Lead and direct the coordination and facilitation of correct identification of patient status. * Direct, implement, and integrate all UM ...
Director of Utilization Management Roles & Responsibilities: * Lead and direct the coordination and facilitation of correct identification of patient status. * Direct, implement, and integrate all UM ...
Director of Utilization Review
Cincinnati, OH · On-site
$78K - $100K/yr
Corporate Director of Utilization Review New Vista Behavioral Health Pay Range: $78k - $100k per year Schedule: Full Time Location: Blue Ash, OH New Vista Behavioral Health is seeking an experienced ...
Director of Utilization Review
Cincinnati, OH · On-site
$78K - $100K/yr
Corporate Director of Utilization Review New Vista Behavioral Health Pay Range: $78k - $100k per year Schedule: Full Time Location: Blue Ash, OH New Vista Behavioral Health is seeking an experienced ...
Director of Utilization Management Roles & Responsibilities: * Lead and direct the coordination and facilitation of correct identification of patient status. * Direct, implement, and integrate all UM ...
Director of Utilization Management Roles & Responsibilities: * Lead and direct the coordination and facilitation of correct identification of patient status. * Direct, implement, and integrate all UM ...
Overview Under direction from the Director of Utilization Management, manages and provides direction to the Health Services department Managers for all product lines ensuring consistent development ...
Overview Under direction from the Director of Utilization Management, manages and provides direction to the Health Services department Managers for all product lines ensuring consistent development ...
Director of Utilization Management
Eagan, MN · On-site
$237K - $248K/yr
The Impact You Will Have The Director of Utilization Management leads and directs the utilization review staff is responsible for ensuring policies and procedures incorporate best practices and ...
Director of Utilization Management
Eagan, MN · On-site
$237K - $248K/yr
The Impact You Will Have The Director of Utilization Management leads and directs the utilization review staff is responsible for ensuring policies and procedures incorporate best practices and ...
The Director of Utilization Management assists admissions in screening patients at the pre-hospital level to ensure that admission criteria are met, and when admitted, follows the chart checking that ...
The Director of Utilization Management assists admissions in screening patients at the pre-hospital level to ensure that admission criteria are met, and when admitted, follows the chart checking that ...
The Director of Utilization Management assists admissions in screening patients at the pre-hospital level to ensure that admission criteria are met, and when admitted, follows the chart checking that ...
The Director of Utilization Management assists admissions in screening patients at the pre-hospital level to ensure that admission criteria are met, and when admitted, follows the chart checking that ...
The Director of Utilization Management assists admissions in screening patients at the pre-hospital level to ensure that admission criteria are met, and when admitted, follows the chart checking that ...
The Director of Utilization Management assists admissions in screening patients at the pre-hospital level to ensure that admission criteria are met, and when admitted, follows the chart checking that ...
Associate Director of Utilization Management
Fairfield, CA · On-site
$162K - $210K/yr
Overview Under direction from the Director of Utilization Management, manages and provides direction to the Health Services department Managers for all product lines ensuring consistent development ...
Associate Director of Utilization Management
Fairfield, CA · On-site
$162K - $210K/yr
Overview Under direction from the Director of Utilization Management, manages and provides direction to the Health Services department Managers for all product lines ensuring consistent development ...
Overview Under direction from the Director of Utilization Management, manages and provides direction to the Health Services department Managers for all product lines ensuring consistent development ...
Overview Under direction from the Director of Utilization Management, manages and provides direction to the Health Services department Managers for all product lines ensuring consistent development ...
Under direction from the Director of Utilization Management, manages and provides direction to the Health Services department Managers for all product lines ensuring consistent development ...
Under direction from the Director of Utilization Management, manages and provides direction to the Health Services department Managers for all product lines ensuring consistent development ...
Director of Utilization Review - Permian Basin Behavioral Health Center Signet Health is currently recruiting for a Director of Utilization Review for a New , free-standing psychiatric hospital ...
Director of Utilization Review - Permian Basin Behavioral Health Center Signet Health is currently recruiting for a Director of Utilization Review for a New , free-standing psychiatric hospital ...
Overview Director of Utilization Review - Permian Basin Behavioral Health Center Signet Health is currently recruiting for a Director of Utilization Review for a New , free-standing psychiatric ...
Overview Director of Utilization Review - Permian Basin Behavioral Health Center Signet Health is currently recruiting for a Director of Utilization Review for a New , free-standing psychiatric ...
The Director of Utilization Management at Palm will be responsible for overseeing the Referrals Department and RN Case Managers across our network of primary care clinics. This leadership role ...
The Director of Utilization Management at Palm will be responsible for overseeing the Referrals Department and RN Case Managers across our network of primary care clinics. This leadership role ...
Director Of Utilization information
See salary details
$18K - $24K
1% of jobs
$24K - $30K
3% of jobs
$30K - $36K
11% of jobs
$39.9K is the 25th percentile. Wages below this are outliers.
$36K - $42K
16% of jobs
$42K - $48K
15% of jobs
The median wage is $49.8K / yr.
$48K - $54K
16% of jobs
$59K is the 75th percentile. Wages above this are outliers.
$54K - $60K
17% of jobs
$60K - $66K
9% of jobs
$66K - $72K
7% of jobs
$72K - $78K
3% of jobs
$78K - $84K
2% of jobs
$18K
$52.3K
$84K
How much do director of utilization jobs pay per year?
As of Sep 12, 2026, the average yearly pay for director of utilization in the United States is $52,322.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,000.00 and $60,000.00 per year, depending on experience, location, and employer.
What does a director of utilization do?
A Director of Utilization oversees the utilization management process within healthcare organizations, ensuring that patients receive appropriate, efficient, and cost-effective care. They are responsible for developing and implementing policies to evaluate the necessity, appropriateness, and efficiency of medical services. Their role often includes supervising utilization review staff, analyzing data to improve patient outcomes, and ensuring compliance with healthcare regulations and payer requirements. This position is crucial for balancing quality care with cost control and resource management.
What are the key skills and qualifications needed to thrive as a director of utilization?
To thrive as a Director of Utilization, you need in-depth knowledge of utilization management, healthcare regulations, and clinical review processes, typically supported by an advanced degree in healthcare or nursing and relevant licensure. Familiarity with utilization management software, electronic health records (EHRs), and data analysis tools is essential for overseeing workflow and compliance. Strong leadership, communication, and critical thinking skills help in guiding teams, collaborating with providers, and making complex decisions. These competencies are crucial to ensure efficient resource use, regulatory compliance, and optimal patient care outcomes.
What are some common challenges faced by a director of utilization in managing resource allocation across multiple departments?
A Director of Utilization often encounters the challenge of balancing resource allocation among departments with competing priorities while ensuring compliance with regulations and organizational goals. Coordinating with clinical and administrative teams to optimize patient flow, reduce unnecessary utilization, and monitor key metrics requires strong communication and analytical skills. Additionally, adapting to shifting healthcare policies and payer requirements can add complexity to daily operations. Proactively addressing these challenges through cross-functional collaboration and continuous process improvement is key to success in this role.
What is the difference between Director Of Utilization vs Utilization Manager?
| Aspect | Director Of Utilization | Utilization Manager |
|---|---|---|
| Credentials | Bachelor's degree, often with healthcare or related certifications | Bachelor's degree, relevant certifications may be preferred |
| Work Environment | Strategic planning, overseeing utilization across departments | Operational focus, managing daily utilization activities |
| Industry Usage | Common in healthcare, insurance, and staffing agencies | Typically found in healthcare and staffing industries |
| Primary Focus | Setting policies and strategies for optimal resource use | Implementing utilization policies and monitoring compliance |
The main difference is that the Director Of Utilization focuses on strategic planning and policy development, while the Utilization Manager handles day-to-day management and implementation of utilization practices. Both roles are essential in optimizing resource use within organizations, especially in healthcare and staffing sectors.
What cities are hiring for Director Of Utilization jobs?
Cities with the most Director Of Utilization job openings:
What states have the most Director Of Utilization jobs?
States with the most job openings for Director Of Utilization jobs include:
What are popular job titles related to Director Of Utilization jobs?
For Director Of Utilization jobs, the most frequently searched job titles are:
Director of Utilization
El Paso, TX • On-site
Acadia Healthcare
• Hospitals • 10K+ employees10,000+ employees
Full-time
Re-posted 26 days ago
Acadia Healthcare rating
6.3
Based on 192 frontline employees who took The Breakroom Quiz
Job description
PURPOSE STATEMENT:
Direct and manage the day-to-day operations of the Utilization Review department.
ESSENTIAL FUNCTIONS:
- Monitor utilization of services and optimize reimbursement for the facility while maximizing use of the patient’s provider benefits for their needs.
- Conducts and oversees concurrent and retrospective reviews for all patients.
- Act as a liaison between Medicaid reviewers and the staff completing required paperwork to facilitate the Utilization Review process.
- Collaborates with physicians, therapist and nursing staff to provide optimal review based on patient needs.
- Collaborates with ancillary services in order to prevent delays in services.
- Evaluates the UM program for compliance with regulations, policies and procedures.
- May review charts and make necessary recommendations to the physicians, regarding utilization review and specific managed care issues.
- Provide staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department operation.
OTHER FUNCTIONS:
- Perform other functions and tasks as assigned.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
- Bachelor's Degree in nursing or other clinical field required. Master's Degree in clinical field preferred.
- Six or more year's clinical experience with the population of the facility preferred.
- Four or more years’ experience in utilization management required.
- Three or more years of supervisoryexperience required.
LICENSES/DESIGNATIONS/CERTIFICATIONS:
- If applicable, current licensure as an LPN or RN within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services.
We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.
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About Acadia Healthcare
Sourced by ZipRecruiter
Acadia Healthcare is a leading provider in the healthcare and hospital industry, based in Franklin, Tennessee, United States. The company is recognised for its commitment to creating a behavioural health network that provides accessible, high-quality treatment options for individuals suffering from mental health issues, addiction, eating disorders, and PTSD. Acadia Healthcare was founded in 2005, with the mission to create a world-class organization that sets the standard of excellence in the treatment of specialty behavioural health and addiction disorders.
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Franklin, TN, US
Year founded
2005