Nurse Director Utilization Review Leader
7 days ago
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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