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Utilization Review Director Jobs in Puerto Rico (NOW HIRING)

... utilization and equipment downtime) in terms of quality. Delivery • Applies Eaton Lean Six Sigma ... Makes budgetary recommendations on capital expenditures and direct/indirect labor. • Performs ...

PR · On-site

  • Medical

  • Dental

  • Vision

Direct startup, commissioning, and qualification of critical manufacturing and laboratory equipment ... Oversee vendor qualification and validation service providers Digital Enablement & AI Utilization

... directed by Management. * Develops a high-performance culture, motivating sales team to meet ... Ensures team maintains consistent client communication through utilization of customer book ...

Review financial results, validate accuracy, and investigate material variances vs. budget and ... Partner with regional finance and leadership to forecast cash needs and optimize cash utilization ...

... directed by Management. * Develops a high-performance culture, motivating sales team to meet ... Ensures team maintains consistent client communication through utilization of customer book ...

Accounting & Cost Manager

Dorado, PR · On-site

$78K - $102K/yr

Verifies contracts for groups and performs credit reference checks for direct billed groups if ... Reviews approved purchases orders, and signature approval from receiving and department heads on ...

Review financial results, validate accuracy, and investigate material variances vs. budget and ... Partner with regional finance and leadership to forecast cash needs and optimize cash utilization ...

PR · On-site

$78K - $102K/yr

Verifies contracts for groups and performs credit reference checks for direct billed groups if ... Reviews approved purchases orders, and signature approval from receiving and department heads on ...

Review financial results, validate accuracy, and investigate material variances vs. budget and ... Partner with regional finance and leadership to forecast cash needs and optimize cash utilization ...

Review financial results, validate accuracy, and investigate material variances vs. budget and ... Partner with regional finance and leadership to forecast cash needs and optimize cash utilization ...

Review financial results, validate accuracy, and investigate material variances vs. budget and ... Partner with regional finance and leadership to forecast cash needs and optimize cash utilization ...

... directed by Management. * Develops a high-performance culture, motivating sales team to meet ... Ensures team maintains consistent client communication through utilization of customer book ...

... directed by Management. * Develops a high-performance culture, motivating sales team to meet ... Ensures team maintains consistent client communication through utilization of customer book ...

... directed by Management. * Develops a high-performance culture, motivating sales team to meet ... Ensures team maintains consistent client communication through utilization of customer book ...

Store Manager Puerto Rico

Humacao, PR · On-site

  • Medical

  • Dental

  • Vision

  • PTO

Conduct monthly performance reviews * Recognize talented staff and develop them for growth within ... Genesco's employment practices will continue to be directed toward full utilization of all ...

Conduct monthly performance reviews * Recognize talented staff and develop them for growth within ... Genesco's employment practices will continue to be directed toward full utilization of all ...

PR · On-site

  • Medical

  • Dental

  • Vision

  • PTO

Conduct monthly performance reviews * Recognize talented staff and develop them for growth within ... Genesco's employment practices will continue to be directed toward full utilization of all ...

PR

  • Medical

  • Dental

  • Vision

  • PTO

Conduct monthly performance reviews * Recognize talented staff and develop them for growth within ... Genesco's employment practices will continue to be directed toward full utilization of all ...

Showing results 21-40

Utilization Review Director information

What does a utilization review director do?

A Utilization Review Director oversees the evaluation of medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They lead teams that review patient care requests, manage compliance with regulations, and implement strategies to ensure cost-effective care without compromising quality. Their responsibilities often include policy development, data analysis, and collaboration with healthcare providers to optimize resource use and improve patient outcomes.

What are the key skills and qualifications needed to thrive as a utilization review director, and why are they important?

To thrive as a Utilization Review Director, you need a deep understanding of clinical guidelines, healthcare regulations, and case management principles, typically supported by a nursing or related healthcare degree and relevant licensure. Familiarity with utilization management software, electronic health records (EHR), and certifications such as Certified Case Manager (CCM) or Accredited Case Manager (ACM) is common in the field. Strong leadership, communication, analytical thinking, and decision-making skills help you effectively manage teams and ensure compliance. These competencies ensure efficient resource use, regulatory adherence, and high-quality patient outcomes within healthcare organizations.

What are some common challenges faced by a utilization review director, and how can they be addressed?

A Utilization Review Director often navigates challenges such as balancing regulatory compliance with organizational goals, managing interdisciplinary teams, and keeping up with evolving healthcare policies. Staying proactive with ongoing education, fostering open communication among staff, and implementing efficient review processes can help address these issues. Additionally, leveraging data analytics and technology streamlines case reviews and ensures evidence-based decision-making, ultimately improving both patient outcomes and operational efficiency.

What is the difference between Utilization Review Director vs Utilization Review Nurse?

AspectUtilization Review DirectorUtilization Review Nurse
CredentialsRN license, management experience, certifications (e.g., CCM)RN license, certification in case management or utilization review (e.g., CUC)
Work EnvironmentAdministrative, leadership roles overseeing teamsClinical, review of patient cases, direct patient care
Employer & IndustryHospitals, insurance companies, healthcare organizationsHospitals, insurance companies, healthcare providers
Search & Comparison IntentLeadership, management, strategic planning in utilization reviewClinical review, case assessment, patient care coordination

The Utilization Review Director typically oversees review teams and manages utilization strategies, requiring leadership skills and management experience. In contrast, the Utilization Review Nurse focuses on clinical case assessments and patient care reviews. Both roles require RN licensure and relevant certifications but differ mainly in scope and responsibilities.

What are the most commonly searched types of Utilization Review jobs in Puerto Rico?

The most popular types of Utilization Review jobs in Puerto Rico are:

Production Supervisor - feeders

Eaton

Arecibo, PR • On-site

Full-time

Re-posted yesterday


Eaton rating

7.7

Company rating: 7.7 out of 10

Based on 224 frontline employees who took The Breakroom Quiz

199th of 540 rated manufacturers


Job description

Eaton's ES AMER PCS division is currently seeking a Production Supervisor - feeders.
What you'll do:
Primary Function:
The Manufacturing Supervisor is responsible to directly supervise employees in the Production Department. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Also, it is his/her responsibility to maintain a safe work environment free of any harassment, discrimination, and high on ethical/quality standards and following and modeling the Leadership Attributes as established by Eaton policies & procedures.
#LI-SL4
Essential Functions:
Responsible for the development and implementation of activities in production area(s) to meet High Five areas objectives:
Safety
• Attend and perform all EHS training assigned.
• Promote MESH processes and policies to all employees under his/her supervision.
• Provide all resources needed to ensure that all MESH policies and procedures all performed by all personnel under his/her supervision.
• Actively participates in Job Safety Analysis and timely resolution of safety corrective actions.
Quality
• Complies with all the requirements in the operational procedures at the area of responsibility in order to meet the requirements of all applicable Quality System regulations.
• Use Problem Solving tools to resolve (Six Sigma, 8D) quality issues and establish systems to improve yield, reduce scrap and minimize rework.
• Develop employee Problem Solving Skills and establish metrics to monitor employee and area performance (area efficiency, utilization and equipment downtime) in terms of quality.
Delivery
• Applies Eaton Lean Six Sigma tools to improve materials flow through production shop floor.
• Interfaces with internal business partners to understand their needs related to technology, product reviews, performance objectives, device features/functions, cost, delivery schedules and quantities.
• Delivers process and manufacturing excellence.
Inventory
• Work in close collaboration and partner with SCM, OPEX, Quality, HR, and Finance Teams to optimize overall operational efficiency and effectiveness.
• Assure the Material Management processes area are followed as required at the manufacturing to avoid manufacturing disruption, scrap or shortages.
Productivity
• Responsible for the execution of Continuous Improvement tools.
• Leads Tier 2 meetings and takes care of the updating and tracking process of Visual Boards.
• Responsible to meet daily production goals by following and prioritizing production schedules based on product introduction, equipment efficiency, materials supply and agenda.
• Plans and administers procedures and budgets. Makes budgetary recommendations on capital expenditures and direct/indirect labor.
• Performs operation analysis to maximize flow in the areas and to assure the best use of resources to achieve total product cycle time goals and the highest level of productivity.
• Provides the manufacturing direction to coordinators and employees to ensure completion of a daily manufacturing plan as specified by our planning groups.
• Responsible to monitor and control Overtime expenses and Absenteeism issues following available tools.
Essential Functions:
Other: Builds Organizational Capability
• Responsible to implement strategic (manager level and above) and tactical manufacturing activities (supervisor level).
• Selects and develops personnel to ensure the efficient operation of the production function.
• Develops schedules and manpower requirements for assigned areas.
• Ensures proactive engagement and representation of Manufacturing within other Teams to support business continuity and continuous improvement.
• Support change management, process and design innovation, supply chain leverage, cost effectiveness and process robustness during development and manufacturing.
• Responsible for setting employee objectives linked to the Plants Key Operating Objectives and other key operational metrics.
• Responsible for on-time performance feedback, coaching and counseling to employees under his/her responsibility tied to established objectives, employee handbook, processes, policies and procedures.
• Pursues organizational development strategies for enhanced goal alignment, professional skills and organization flexibility.
• Develops and supports Business Team objectives utilizing Six-Sigma/Lean Techniques in support of continuous process improvement activities.
• Responsible of maintaining a functional cross training matrix between the employees.
• Assure of employee's timecard data entry and payment integrity through Time Attendance System.
• Performs other related duties as required.
IIoT Project responsibilities and accountabilities based on role scope:
• Discuss Key metrics on Tier 2, Use IIOT information to define fast response actions. Follow actions with the respectively team. Support Usage of IIOT system through the plant. Thru IIOT Dashboard, Visual Display, Tier 2 Board
• Discuss Key metrics daily with production floor manufacturing /support personnel (safety, quality issues, daily previous production, actions and usage of IIOT system) thru IIOT Dashboard, Visual Display, Tier 1 Board
• Support and provide guidance to solve system functionality issues. Track usage, discuss discrepancy and develop corrective /preventive actions thru IIOT Dashboard, Shop floor Connectivity
• Maintain and enforce usage of TDM and PDES system in mfg. areas thru Shop Floor Connectivity
• Inform of issues and anomalies in the Tier meeting thru Shop Floor Connectivity
• Workstation - ongoing support & maintenance thru Infrastructure
• Workstation - new workstation setup thru Infrastructure
Qualifications:
Minimum Requirements:
Education: Bachelor's degree in Business Administration, Industrial, Mechanical or Electrical Engineering.
Experience: 3 years of leadership and supervisory experience in manufacturing environment., experience in plating, machining, stamping, molding processes.
Managing 25 - 50 HC team members.
Languages: English and Spanish written and speaking.
Systems: Computer literate: Intermediate knowledge and experience using Microsoft Office Excel, Word and PowerPoint; and Inventory Management Systems.
All positions may require participation in video and in-person interviews as part of the hiring process. All candidates will be evaluated based on job-related competencies, and all candidates' privacy rights and data security will be protected in accordance with applicable laws.
We are committed to ensuring equal employment opportunities for job applicants and employees. Our recruitment processes use balanced selection criteria and avoid unlawful discrimination against applicants on the basis of their age, colour, disability, marital status, national origin, gender, gender identity, genetic information, race or racial origin, religion, sexual orientation or any other status protected or required by law.

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About Eaton

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Industry

Electrical equipment, appliance, and component manufacturing

Company size

10,000+ Employees

Headquarters location

Cleveland, OH, US