What are the responsibilities and job description for the Utilization Management (UM) Program Manager position at UCLA Health Careers?
Description
The Utilization Management (UM) Program Manager plays a vital role in driving the strategic planning, execution, and continuous enhancement of UM programs. The position ensures the delivery of clinically appropriate and cost-effective care by optimizing utilization management processes across the organization.
Key Responsibilities:
- Lead and manage UM programs to align with organizational goals for quality, efficiency, and compliance.
- Collaborate closely with clinical UM, Care Management, Quality, Information Technology (IT), and other key stakeholders, to streamline authorization workflows and improve operational efficiency
- Develop and implement strategies to reduce avoidable denials and enhance patient throughput
- Ensure adherence to regulatory and accreditation standards through Effective program oversight and compliance monitoring
- Coordinate complex, multi work stream initiatives that involve cross functional teams
- Utilize data analytics to inform decision making, identify opportunities for improvement, and measure program outcomes
- Standardize UM processes, tools, and documentation to promote consistency and scalability
- Facilitate communication and change management efforts to support successful program adoption and sustainability
- Support other clinical departments as needed to advance organizational objectives
Salary Range: $70,900-$145,200/annually
Salary : $70,900 - $145,200