RN Director of Utilization Management and Clinical Operations
3 days ago
We are seeking a highly skilled RN Director of Utilization Management to lead our team in strategic direction and oversight of day-to-day operations. This role is responsible for ensuring integration of utilization management functions with network strategy and claims processing.
Key Responsibilities- Provide strategic leadership and guidance to staff members on utilization review, staffing, and provider relations.
- Develop systems and processes for prospective, concurrent, and retrospective utilization review for all clients.
- Oversee implementation and maintenance of prior authorization codes for all clients.
- Maintain strong relationships with providers and ensure resolution of issues.
Ascension St. John has been serving Northeast Oklahoma since 1926, providing compassionate, personalized care to the community. As a leading non-profit healthcare system, we offer a range of benefits to support the well-being of our associates, including paid time off, health insurance options, retirement benefits, and tuition reimbursement.
Requirements- Licensure/Certification/Registration: Registered Nurse credentialed from the Oklahoma Board of Nursing required.
- Education: Diploma from an accredited school of nursing or required professional licensure at time of hire.
- Strong experience in utilization review and leadership roles.
- Exceptional communication and interpersonal skills.
At Ascension, our mission is to provide spiritually centered, holistic care that sustains and improves the health of the communities we serve. We value diversity, equity, and inclusion, and strive to create a workplace culture that reflects these values.
About CompensationThe estimated salary range for this position is $95,000 - $110,000 per year, based on factors such as location, education, and experience. Benefits may include health insurance, retirement plans, and paid time off.
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