Director Utilization Mgmt (DO OR MD REQUIRED)
WellpathPennsylvania, United States
Posted November 1, 2023
199992 - 249995.2 USD year
Full Time
About the Company
Wellpath is a leading provider of compassionate medical and mental healthcare services to vulnerable patients in challenging environments. With over 10,000 clinicians serving more than 200,000 patients daily across 37 states, Wellpath prioritizes rigorous care standards and innovation, focusing on state hospitals, forensic treatment centers, and correctional facilities. The company's mission is to make a difference in the lives of those most in need, fostering a culture of non-judgmental compassion.
Job Description
Wellpath is seeking a Director of Utilization Management (DO or MD) to lead utilization review, case management, and quality improvement initiatives. This role involves guiding medical staff, evaluating policy, and collaborating with partners to improve patient care and operational efficiency. The position supports a mission-driven organization with a people-first culture and offers opportunities for career growth and development.
Requirements
- Ensure use of nationally recognized criteria and evidence-based standards for inpatient concurrent reviews and offsite service requests.
- Manage UM staff including performance reviews, employee development, hiring, coaching, counseling, and retention.
- Evaluate and recommend policy improvement related to utilization review system, and facilitate regular meetings with partner hospital clinical.
Benefits
- Medical, dental, vision
- Paid time off
- 401k
- Employee Assistance Program
- Company paid life insurance
- Tax free Health Spending Accounts
- Wellness program
- Tuition Assistance
- Dependent Scholarships
