RN Manager | Utilization Review

Location: Cleveland, OH
Date Posted: 06-12-2017
We’re working on behalf of one of the nation’s leading health care systems, providing high-quality, patient-centered medical care at locations throughout Northeast Ohio. Committed to advanced care and advanced caring, the organization offers the region’s largest network of primary care physicians, outpatient centers, and hospitals. The health care system also includes a network of specialty care physicians, skilled nursing, elder health, rehabilitation and home care services, managed care and insurance programs, occupational health & wellness, and the most comprehensive behavioral health services in the region.
Looking for a great opportunity?  We seek a Registered Nurse with five (5) or more years of clinical nursing experience that includes at least three (3) years of utilization review or case management experience of the role of Manager, Utilization Management.  In this role you will lead utilization management practice, for a designated group of hospitals, in collaborating with all members of the health care team, patient and family (or significant others) to coordinate timely and efficient delivery of required services to result in: positive patient health care outcomes; appropriate reimbursement; improved efficiency; improved inpatient throughput; and increased patient/health care team satisfaction.  You will set policies to support documentation of reviews, application of appropriate criteria and/or guidelines and documentation of review outcomes in collaboration with peer managers.  You will monitor productivity and quality of staff work product and outcomes, ensure accountability.
Candidates must have a Bachelors degree in Nursing and be licensed as a Registered Nurse in the state of Ohio.  Preference given to candidates with a Masters degree and/or CCM certification.  Must have five (5) or more years of clinical nursing experience that includes at least three (3) years of utilization review or case management experience.  Must have comprehensive knowledge of the care continuum, alternate environments of care.  Must have previous supervisory or management experience.  Must have excellent oral, written and interpersonal communication skills.  Must be able to lead interdisciplinary teams to achieve desired outcomes.  Must have experience in developing and managing operation and capital budgets.
Competitive compensation and benefits.  This is an excellent opportunity to join a healthcare system that is perennially among the highest performers in national ranking surveys, including “America’s Best Hospitals” from U.S. News & World Report.  For more information call 941.739.1400 or submit your resume now by clicking on the button below that says "Apply Now."
Eric Boelkins
Edge Recruitment Solutions
888.666.2450 or 941.739.1400
this job portal is powered by CATS