Director of Utilization Management
Seeking a Director of Utilization Management - RN to?oversee operations of the referral management, telephonic utilization review, prior authorization functions, and case management programs. Ensure compliance government and contractual guidelines and the mission, philosophy and objectives of Corporate and the health plan.
Licensed Registered Nurse with 5+ years of nursing experience in an acute care setting particularly in medical/surgical, pediatrics, or obstetric in a managed care environment. 1+ years of utilization management and/or case management experience. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff. We are an equal employment opportunity employer and will consider all qualified candidates without regard to disability or protected veteran status.