Director, Utilization Management - Direct Hire – Buffalo, NY - Job #5797
Our client is a managed care organization seeking an experienced Director to manage a sizeable group of RN’s and staff in the Utilization Management department. This is a growth position that provides an opportunity to mold and shape a department into a more efficient and effective organization. Ensure that quality healthcare is being provided to a needy group of members in a cost effective manner. Manage the inpatient, outpatient and discharge / homecare benefit authorization process. Handle all workflow involving member/provider interaction. Manage regulatory compliance and quality service reporting. Responsibilities include operations and staff management, process engineering and IT process automation. Rapid growth provides challenge and opportunity. This creative and energized professional can make significant difference in the lives of many.
RN or Clinical Degree / Certification
5+ years Operations Management with staff size over 20+ people
Utilization Management experience
Strong IT skills