Director Utilization Mgmt MD or DO Required (...

You Matter u2022 Make a difference every day in the lives of the underserved u2022 Join a mission driven organization with a people first culture u2022 Excellent career growth opportunities Join us and find a career that supports: u2022 Caring for overlooked, underserved, and vulnerable patients u2022 Diversity, equity, inclusion, and belonging u2022 Autonomy in a warm team environment u2022 Growth and training Perks and Benefits In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including: u2022 DailyPay, receive your money as you earn it u2022 Tuition Assistance and dependent Scholarships u2022 Employee Assistance Program (EAP) including free counseling and health coaching u2022 Company paid life insurance u2022 Tax free Health Spending Accounts (HSA) u2022 Wellness program featuring fitness memberships and product discounts u2022 Preferred banking partnership and discounted rates for home and auto loans Eligibility for perks and benefits varies based on employee type and length of service. Why Us Now is your moment to make a difference in the lives of the underserved. If there is one unifying characteristic of everyone on our team, it is the deep desire to make a difference by helping society's most vulnerable and often overlooked individuals. Every day we have the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to u201cAlways Do The Right Thingu201d, and to collectively do our part to heal the world, one patient at a time. Wellpath sees hundreds of thousands of unique individuals in their facilities month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan. We offer ongoing training and development opportunities for licensed and unlicensed healthcare team members, and have best in class clinical resources for training, education, and point of care support. How you make a difference The Medical Director of Utilization Management leads and oversees utilization review, case management, quality improvement, and related policy and practice initiatives within their assigned area. They provide guidance and direction to medical staff in their efforts to ensure quality patient care and the appropriate utilization of medical services. The Medical Director of Utilization Management serves as a key liaison with external partners and stakeholders, and works collaboratively with internal teams to optimize care delivery and achieve operational goals. Key Responsibilities + Ensure the 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. + Lead UM process improvements, facilitate patient care goals, and utilize data research to reduce length of inpatient stays and decrease ED admissions. + Evaluate and recommend policy improvement related to utilization reviewsystem, andprovide UM updates and participate in meetings. + Establish and monitor progress towards UM program goals, maintain offsite service and UM tracking/reporting, and facilitate regular meetings with partner hospital clinical regarding offsite services. Additional Details This is on onsite role based in Lemoyne, Pennsylvania at our Regional Office. Qualifications & Requirements Education + Medical Doctor (M.D.) or Osteopathic Doctor (D.O.) from an accredited university Experience + One (1) year of experience in utilization management is required. + Excellent communication and organizational skills required. + Experience in Performance and/or Quality Improvement preferred. Licenses/Certifications + Current license in state of employment to practice medicine We are an Equal Employment Opportunity Employer We are committed to fostering, cultivating, and preserving a culture of uniqueness. We celebrate a variety of backgrounds and are committed to creating an inclusive environment for all employees. We encourage you to apply If you are excited about a role but your experience doesnu2019t seem to align perfectly with every element of the job description, we encourage you to apply. You may be just the right candidate for this, or one of our many other roles. Deadline to apply to this position is contingent upon applicant volume. Those positions located in Colorado will have a specific deadline posted in the job description. We are an Affirmative Action Employer in accordance with applicable state and local laws. Quick Apply ( Need help finding the right job? We can recommend jobs specifically for you Job _25-183578_ Facility _OH Cuyahoga Cty Juv_ Type _Full-Time_ Shift _Day 8 hour_ Recruiter : Full Name: First Last _Jacee Preciado_ Recruiter : Email _ Compensation Information _$199,992 - $249,995.2 / year_

Created: 2026-01-26