Nurse Director Utilization Review Leader

7 days ago


Brockton, Massachusetts, United States Clinical Management Consultants Full time

Job Summary:

Clinical Management Consultants is seeking an experienced Nurse Director Utilization Review Leader to join our team. As a key member of our clinical leadership team, you will be responsible for providing strategic direction and oversight to our case management and utilization review functions.

Key Responsibilities:

  • Lead the development and implementation of case management and utilization review strategies to optimize patient throughput and placement status.
  • Chair the Utilization Review committee and ensure timely and effective communication with stakeholders.
  • Take an active leadership role in daily rounds and provide in-depth knowledge of Medical and Medicaid regulations.
  • Ensure regulatory compliance and oversee department budgets.
  • Collaborate with the Senior VP Clinical Operations to drive clinical excellence and quality patient care.

Requirements:

  • Bachelor's level degree in Nursing (BSN)
  • Registered Nurse (RN) license in the state of Massachusetts or ability to obtain
  • Progressive leadership experience in acute care case management

What We Offer:

Clinical Management Consultants is a leading provider of clinical management services. We offer a competitive compensation package, including industry-leading benefits and continued growth opportunities.


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