Chief Utilization Management Officer

1 week ago


San Diego, California, United States Healthcare Recruitment Partners Full time
Job Overview

We are seeking a skilled RN Manager of Utilization Management to oversee the coordination of services through an interdisciplinary process. The ideal candidate will balance patient and family needs with cost-effective resource utilization.

About the Role

This position is responsible for expanding the Care Management focus, assessing patients for appropriateness of care levels, and collaborating with Director and staff on complex cases and issues. The RN Manager of Utilization Management will supervise day-to-day operations, including staff schedules, assignments, and caseloads to ensure hospital-wide coverage.

Key Responsibilities
  • Supervise and coordinate day-to-day operations to ensure effective hospital-wide coverage.
  • Provide expertise and support for problem-solving complex cases and issues.
  • Collaborate with Director and participate in staff evaluation and performance activities.
  • Represent Utilization Management at committee meetings and develop new staff orientation plans.
Requirements
  • Bachelor's Degree required.
  • Registered Nurse required.
  • Demonstrated Case Management leadership experience in a hospital setting.
  • At least 3 years of Acute Hospital Case Management or Utilization Management experience.
  • BLS certification through American Heart Association.
Estimated Salary Range: $85,000 - $110,000 per year

For our Case Management opportunities, feel free to forward your resume. If you know someone who would be interested, please contact us at your earliest convenience.



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