Healthcare Utilization Manager Lead

3 days ago


Baltimore, Maryland, United States MEDSTAR HEALTH Full time

The salary for this position is estimated at $120,000 per year.

About MEDSTAR HEALTH

As a leading healthcare organization, MEDSTAR HEALTH is dedicated to providing high-quality patient care and innovative medical solutions. We strive to create a collaborative work environment that fosters professional growth and development.

Job Description: Healthcare Utilization Manager Lead

We are seeking an experienced Healthcare Utilization Manager Lead to join our team. The successful candidate will be responsible for overseeing the utilization management process, ensuring accurate and timely decisions regarding patient care.

This role requires excellent communication and leadership skills, as well as the ability to work collaboratively with interdisciplinary teams. The ideal candidate will have a strong background in healthcare and experience in utilization management.

The Healthcare Utilization Manager Lead will be responsible for:

  • Developing and implementing utilization management policies and procedures
  • Providing education and training to staff on utilization management best practices
  • Collaborating with interdisciplinary teams to ensure seamless patient care transitions
  • Analyzing data to identify trends and areas for improvement
  • Leading quality improvement initiatives to enhance patient outcomes

The successful candidate will possess:

  • A bachelor's degree in nursing or a related field
  • 3-4 years of experience in utilization management
  • 5-7 years of diverse clinical experience
  • 1-2 years of supervisory experience
  • RN licensure in Maryland
  • CCM certification (or ability to obtain within 2 years)

Additionally, the ideal candidate will demonstrate:

  • Excellent verbal and written communication skills
  • Ability to analyze complex data and develop strategic plans
  • Strong leadership and collaboration skills
  • Proficiency in Microsoft Office applications
Benefits

At MEDSTAR HEALTH, we offer a comprehensive benefits package, including:

  • Competitive salary
  • Growth opportunities for professional development
  • Collaborative work environment
  • Comprehensive health insurance


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