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Job Details

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About This Employer


Connecting employers with the talent they need + connecting healthcare professionals with the jobs they’ll love

Headquartered in New York City with 9 additional offices in New York, New Jersey, Connecticut, Massachusetts, and Florida, The Execu|Search Group specializes in the placement of healthcare professionals in full-time and temporary roles. From Registered Nursing positions to Medical Directors and Hospital Administrators, we work with some of the best healthcare facilities and are focused on connecting candidates with jobs that are tailored to their unique qualifications.  Our Health Services recruiters have achieved the Gold Seal of Approval™ for healthcare staffing services from The Joint Commission, which recognizes our dedication to providing our clients with qualified healthcare professionals.


The Execu|Search Group

CITY :

BROOKLYN

STATE :

NY

COUNTRY :

USA

ZIP CODE :

11201

JOB ID NUMBER :

J137165

POSTED :

01/05/2017

Utilization Management Manager (RN)


The Execu|Search Group


POSITION TYPE:  Full-Time

JOB SUMMARY:


Utilization Management Manager (RN)
Utilization Management Manager (RN)
Location: Brooklyn, NY
Salary: $100,000-$110,000
Experience: 3.0 year(s)
Job Type: Full-Time
Job ID: J137165
 
   
About the Opportunity

A healthcare organization in New York City is currently seeking an experienced, licensed Registered Nurse (RN), with a strong Utilization Management background, for a promising Manager-level position with their growing medical staff. Assuming a leadership role within the Medical Management Department, the Utilization Management Manager (RN) will be responsible for overseeing the authorization of covered services for eligible members  and insuring high quality, cost-effective patient care and appropriate allocation of member services and resources. Apply today!

Company Description

Healthcare Organization

Job Description

The Utilization Management Manager (RN) will be responsible for:

  • Overseeing the provision of utilization management functions, including: pre-certification; concurrent review; discharge planning; etc.
  • Developing departmental process workflows for utilization management functions
  • Hiring, supervising and managing a team of nursing professionals
  • Maintaining staff productivity, effectiveness and efficiency
  • Developing key indicators for staff; auditing staff to achieve key indicators and optimal outcomes
  • Developing and analyzing operational and analytical reports needed to monitor and track operational efficiency
  • Ensuring compliance with the goals of the Medical Management Department and the overall organization
  • Conducting daily, weekly, monthly and quarterly meetings as needed with staff to review process issues
  • Troubleshooting any issues that utilization management staff are experiencing during the authorization process
  • Participating in quality improvement activities
Required Skills
  • 3+ years of experience in the Authorization of Services within a Healthcare Management company; 3+ years of Managed Care experience; and, 3+ years of experience in a Management position
  • Associate's Degree in Nursing
  • NYS Registered Nurse (RN) license
  • Utilization Management / Review background
  • Solid assessment, clinical, and documentation skills
  • Patient oriented
  • Great interpersonal skills
  • Excellent communication skills (written and verbal)
  • Strong attention to detail
  • Highly organized
Desired Skills
  • Bachelor's Degree in Nursing
  • CCM, CPHM and/or CMCN certification