Healthcare Operations Director

6 days ago


Centennial, Colorado, United States CommonSpirit Health Mountain Region Full time

Welcome to CommonSpirit Health Mountain Region: A leader in healthcare innovation and community service.

We are committed to building healthier communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen. With locations throughout Colorado, Utah, and Kansas, we deliver high-quality care to our patients and employees.

The Utilization Management Director will be responsible for developing, implementing, and evaluating the Utilization Management Program and staff in support of the CommonSpirit Health Care Coordination model. This includes processing authorizations, inpatient admission and continued stay reviews, and retrospective authorizations using standardized criteria to determine medical necessity.

The ideal candidate will have a Bachelor's degree in Nursing, Health Care Administration, or an advanced clinical degree, and a minimum of 3 years of clinical case management experience. Additionally, the candidate should have 5 years of progressively responsible management experience, extensive operational experience in managed care, and comprehensive knowledge of utilization management and financial management.

We offer a Total Rewards package that includes compensation, benefits, retirement, wellness, leave, and other programs designed to support the well-being of our employees. Our pay range is $50.44 - $85.10 per hour, and we offer a supportive team environment with resources to help you flourish and leaders who care about your success.



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