Manager of Utilization Mgmt Services
Company: Renown Health
Posted on: October 14, 2020
This position is accountable for ensuring that the non-clinical
functions of the contact center are performed efficiently and meet
Renown quality standards. This position is responsible for
establishing and maintaining the highest possible standards of
excellence for the support groups which it is overseeing and
coordinating all policies and procedures for each area. This
position is accountable for providing quality contact center
services to the medical staff and to the patients and medical
Nature and Scope
This position is responsible for operational aspects of the
department, in addition to supervising the above subordinates, this
position performs the following:
Uses independent judgment to administer all aspects of personnel
policies as they relate to the clerical and support staff.
Plans, directs, and manages the business operations including
developing new support service lines and businesses.
Plans, directs and manages merging outside non-imaging departments
with Ambulatory support services, including assessing outside staff
Plans, directs and manages major implementations of new equipment
Manages effective marketing campaigns. Responsible for working with
marketing/sales staff to maintain & develop relationships with
community referring physician offices for all contact center and
scheduling service lines, including imaging and labs.
Meets the expectations and stated goals of Related Party Agreement
partners. This applies to both financial and service goals.
Must have working knowledge of applicable programs including, but
not limited to: Avaya Aura Contact Center, Xtend, EPIC Cadence, and
Supervises and/or prepares reports, documents, payroll records,
statistical surveys and other data required for departmental
administration and for compliance with various licensing and
Prepares, departmental, operational, and capital equipment budgets;
is responsible for managing and explaining actual budget
Is directly involved in short and long range department
This position is responsible for ongoing process improvement for
physician and patient satisfaction.
This position requires knowledge of benefit structures for all
product lines. Acts a a resource for benefit determination and
proves direction for appropriate disposition of clinical services
utilizing the Director of Utilization Management Services for
assistance and direction with difficult or problematic cases.
This position requires daily contact with patients, the general
public, medical staff, and other department heads. Weekly or
monthly meetings with Administration, department staff and
supervisors are necessary for proper communication.
The contact center utilization management and scheduling
departments are experiencing considerable change requiring the
incumbent to keep abreast of the state-of-the-art in technology and
procedures as well as ensuring compliance with Federal and State
regulatory requirements and URAC standards. As a manager, the
incumbent must have the capacity to effectively problem-solve, make
appropriate decisions, and produce desired results. In addition,
he/she must effectively interface with the, medical staff, and
This position does not provide direct patient care. The manager
makes no clinical adverse determinations.
The foregoing description is not intended and should not be
construed to be an exhaustive list of all responsibilities, skills
and efforts or work conditions associated with the job. It is
intended to be an accurate reflection of the general nature and
level of the job.
Requirements - Required and/or Preferred
Must have working-level knowledge of the English language,
including reading, writing and speaking English. Bachelor's degree
Minimum of three years health care experience preferred. Requires
two (2) years of previous management experience.
Computer / Typing:
Must be proficient with Microsoft Office Suite, including Outlook,
PowerPoint, Excel and Word and have the ability to use the computer
to complete online learning requirements for job-specific
competencies, access online forms and policies, complete online
benefits enrollment, etc. Experience with EPIC Radiant, EPIC
Cadence, Xtend and Avaya Aura Contact Center software
Keywords: Renown Health, Reno , Manager of Utilization Mgmt Services, Executive , Reno, Nevada
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