Healthcare Operations Manager
4 days ago
About the Job
As a Director of Clinical Utilization at Ascension, you will play a critical role in providing strategic direction and oversight of the day-to-day operations of our utilization management function. This position requires a strong clinical background, excellent leadership skills, and the ability to collaborate with various stakeholders.
Key Responsibilities:
- Develop and implement comprehensive outpatient and inpatient utilization management programs for all self-funded and fully insured clients.
- Manage activities related to staffing, including hiring, orienting, evaluating, disciplinary actions, and continuing education initiatives.
- Oversee implementation and maintenance of prior authorization codes for all clients.
- Collaborate with network strategy and claims processing teams to ensure seamless integration of utilization management functions.
Requirements:
- 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.
About the Organization
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.
Salary Information
The estimated salary range for this position is $120,000 - $160,000 per year, depending on experience and qualifications.
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