Healthcare Utilization Manager

3 weeks ago


Englewood, Colorado, United States CommonSpirit Health Mountain Region Full time

Overview

At CommonSpirit Health Mountain Region, we are committed to delivering high-quality care to our patients and communities. As a key member of our team, the Utilization Management Director plays a critical role in ensuring that our care coordination model is effective and efficient.

Responsibilities

  • Develop and implement strategies to achieve departmental and organizational goals and objectives.
  • Direct the Utilization Management staff to meet or exceed operational performance standards.
  • Oversee the development and implementation of UM policies, procedures, and processes.
  • Collaborate with the Division Director of Care Coordination to develop and implement care coordination strategies.

Requirements

  • Bachelor's degree in Nursing, Healthcare Administration, or advanced clinical degree.
  • Minimum 3 years of clinical case management experience, including utilization management, denial management, and care coordination.
  • 5 years of progressively responsible management experience.
  • Extensive operational experience in managed care, including program planning, implementation, staff development, and needs assessment.

Our Total Reward Offerings

We believe investing in our employees is essential to their success and well-being. Our Total Rewards package includes compensation, benefits, retirement, wellness, leave, and other programs designed to support your overall health and happiness.


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