Chief Utilization Management Officer
3 weeks ago
Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states. Our mission is to provide spiritually centered, holistic care which sustains and improves the health of the communities we serve.
Career OpportunitiesWe are seeking a Chief Utilization Management Officer - Registered Nurse to join our team at John Medical Center. This role will provide strategic direction and oversight of the day-to-day operations of utilization management function within the insurance plan.
Job SummaryThe Chief Utilization Management Officer - Registered Nurse will be responsible for ensuring integration of utilization management functions with network strategy and claims processing. This includes managing activities related to staffing, including hiring, orienting, evaluating, disciplinary actions, and continuing education initiatives. The ideal candidate will also develop systems and processes for prospective, concurrent and retrospective utilization review for all self-funded and fully insured clients to implement and manage comprehensive outpatient and inpatient utilization management programs.
Responsibilities- Provide strategic direction and oversight of the day-to-day operations of utilization management function within the insurance plan.
- Ensure integration of utilization management functions with network strategy and claims processing.
- Manage activities related to staffing, including hiring, orienting, evaluating, disciplinary actions, and continuing education initiatives.
- Develop systems and processes for prospective, concurrent and retrospective utilization review for all self-funded and fully insured clients.
- Registered Nurse credentialed from the Oklahoma Board of Nursing obtained prior to hire date or job transfer date required.
- Diploma from an accredited school/college of nursing OR Required professional licensure at time of hire.
This is a full-time position offering a competitive salary range of $110,000 - $140,000 per year, depending on experience. Benefits include various health insurance options & wellness plans, retirement benefits including employer match plans, long-term & short-term disability, employee assistance programs (EAP), parental leave & adoption assistance, tuition reimbursement, and ways to give back to your community.
About UsJohn has been serving Northeast Oklahoma with compassionate, personalized care since 1926. We offer a supportive work environment and opportunities for career growth and development. As a military friendly organization, we promote career flexibility and offer many benefits to help support the well-being of our military families, spouses, veterans and reservists.
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