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Utilization Manager

3 weeks ago


Covington, Louisiana, United States St. Tammany Health System Full time
About the Role

The Utilization Manager will be responsible for leading the utilization management team and developing strategies to improve patient outcomes and reduce healthcare costs. This role requires a strong understanding of healthcare operations, including CPT-ICD-9 coding principles and DRG management. The ideal candidate will have a graduate degree in Nursing, current R.N. licensure by the Louisiana State Board of Nursing, and at least five years of hospital nursing experience.

Responsibilities
  1. Develop and implement utilization management strategies to improve patient outcomes and reduce healthcare costs.
  2. Lead the utilization management team and provide guidance and support to team members.
Requirements
  • Graduate of accredited school of Nursing.
  • Maintains current R.N. licensure by the Louisiana State Board of Nursing.
  • Five years of hospital nursing experience preferred.
  • Experience in the field of Utilization Management activities highly preferred.