ZipRecruiter

Log In

1

Director Of Utilization Jobs (NOW HIRING)

UHS

Director of Utilization Management

Danville, VA · On-site

Visit us online: www.thehughescenter.com The Director of Utilization Management assists admissions in screening patients at the pre-hospital level to ensure that admission criteria are met, and when ...

UHS

Director of Utilization Management

Danville, VA · On-site

Visit us online: www.thehughescenter.com The Director of Utilization Management assists admissions in screening patients at the pre-hospital level to ensure that admission criteria are met, and when ...

UHS

Director of Utilization Management

Danville, VA · On-site

Visit us online: www.thehughescenter.com The Director of Utilization Management assists admissions in screening patients at the pre-hospital level to ensure that admission criteria are met, and when ...

UHS

Director of Utilization Management

Danville, VA · On-site

Visit us online: www.thehughescenter.com The Director of Utilization Management assists admissions in screening patients at the pre-hospital level to ensure that admission criteria are met, and when ...

Wellpath

Director Utilization Mgmt

Lemoyne, PA

Overview The Medical Director of Utilization Management leads and oversees utilization review, case management, quality improvement, and related policy and practice initiatives within their assigned ...

previous page

Showing results 41-60

All JobsEnergy And Environment JobsUtility JobsPower Plant Manager JobsDirector Of Utilization Jobs

Director Of Utilization information

See salary details

$18K

$52.3K

$84K

How much do director of utilization jobs pay per year?

As of Sep 13, 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?

AspectDirector Of UtilizationUtilization Manager
CredentialsBachelor's degree, often with healthcare or related certificationsBachelor's degree, relevant certifications may be preferred
Work EnvironmentStrategic planning, overseeing utilization across departmentsOperational focus, managing daily utilization activities
Industry UsageCommon in healthcare, insurance, and staffing agenciesTypically found in healthcare and staffing industries
Primary FocusSetting policies and strategies for optimal resource useImplementing 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 jobs near you

Director of Utilization (100% onsite)

Center Point, TX • On-site

Starlite Recovery Center
Health Care and Social Assistance • 51 - 200 employees
Learn more about Starlite Recovery Centerexternal

Full-time

Re-posted 23 days ago

Job description

Overview

Starlite Recovery Center has an opportunity to hire a Director of Utilization to join their Amazing Team!

Starlite Recovery Center has been treating individuals with Substance Use Disorder for over 67 years. Starlite Recovery Center is located in the Hill Country, southeast of Kerrville, and approximately 30 minutes northwest of Boerne, Texas.

PURPOSE STATEMENT: 

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 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. 
Qualifications

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.

AHGROW

#LI-SLRC

#LI-SK1

Employment Type: FULL_TIME

Apply