Director of Utilization Management
Los Angeles, California

The Director of Case Management and Utilization Review directs the Case Management and Utilization Review program. The Director of Case Management and Utilization Review develops and manages programs that emphasize appropriate admissions as well as concurrent and retrospective review of care. The Director of Case Management and Utilization Review is responsible for other integrated functions such as Discharge Planning, Case Management program, Utilization Review program, Transportation coordination and Care Coordination to promote a centralized, coordinated, interdisciplinary process in the continuum of care.

Responsibilities:

• Acts as a resource to the medical administrative staff and external regulatory
• Directs the operations of outside referrals/transportation services when necessary
• Serves as contract liaison on issues pertaining new or existing contracts, outside vendors
• Coaches, trains and disciplines staff to ensure smooth operations in Utilization Management
• Provides overall direction, design, development implementation and monitoring of Utilization programs to agencies in all issues
• Analyzes and reports significant Utilization trends, patterns, and appropriate departmental and medical staff committee

Qualifications:

• Director of Case Management experience in an acute care setting
• Bachelor of Science in Nursing required
• Master’s Degree preferred
• CCM or ACM preferred
• Current California RN License required
• Demonstrated interpersonal, negotiation, and leadership skills
• Labor/Management Partnership environment

For our Case Management opportunities, feel free to forward a resume to Michelle Boeckmann at Michelle@HCRecruiter.com or visit our Case Management website at www.HealthcareRecruitmentPartners.com.

If this opportunity is of interest or know someone that would be interested, please feel free to contact me at your earliest convenience.

Michelle Boeckmann | VP of Recruitment Case Management Division
Direct Dial 615-465-0292 | Toll Free 800-940-2313 Ext 101
Michelle@HCRecruiter.com
www.HealthcareRecruitmentPartners.com

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