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Utilization Management Director

2 months ago

Lebanon, Pennsylvania, United States Dartmouth-Hitchcock Health Full time
Job Summary

We are seeking a highly skilled and experienced Nurse Leader to join our team as a Utilization Management Director. This role will be responsible for overseeing the day-to-day operations of our utilization review program, ensuring regulatory compliance, and driving financial outcomes.

Key Responsibilities
  • Supervise and develop a team of healthcare professionals to ensure seamless operations
  • Collaborate with medical directors, care teams, and health plans to optimize patient care and outcomes
  • Develop and implement communication strategies to keep clinicians and staff informed of changes and best practices
  • Monitor and report on key metrics, including length of stay, readmission rates, and denials
  • Stay up-to-date with industry trends and regulatory requirements to ensure compliance and quality care
Requirements
  • BSN with 3 years of clinical experience required; MSN preferred
  • Strong leadership, communication, and computer skills
  • Licensed Registered Nurse with NH eligibility and BLS certification
About Dartmouth-Hitchcock Health

Dartmouth-Hitchcock Health is a nationally recognized Academic Medical Center located in the beautiful Upper Valley of New Hampshire. We offer a unique blend of academic and community-based healthcare, with a focus on quality, safety, and patient-centered care. Our team is dedicated to providing exceptional care and service to our patients and communities.