Director - Clinical Services

The Execu|Search Group   •  

Greenwich, CT

Industry: Professional, Scientific & Technical Services

  •  

Less than 5 years

Posted 66 days ago

This job is no longer available.

JOB DESCRIPTION

The Director of Clinical Services:

  • Leads the clinical activities of the utilization management team by direct supervision of Care Managers, leads, and administrative staff
  • Conducts clinical peer reviews of UM decision making of Care Managers
  • Interacts with patients and providers associated with the active management of the patient’s care
  • Prepares reports for and participates in monthly Utilization Management Committee meetings
  • Participates in reviews of all denials
  • Assists sales team with clinical aspect of client meetings and calls acting as subject-matter expert for best practices, evidence-based guidelines, and current trends in fertility management
  • Collaborates closely with the VP of Clinical Services & QA
  • Participates in process improvement and development to make recommendations within the scope of accountability

REQUIRED SKILLS

  • Graduate of an accredited school of nursing with a minimum of an Associate's or Bachelor’s degree
  • Active Connecticut State Registered Nurse license
  • Experience with fertility nursing
  • Strong medical skills and knowledge
  • Ability to multitask
  • Excellent communication skills

Desired Skills

  • 5+ years’ infertility experience
  • 2+ years’ experience managing staff
  • 1 year of experience in Utilization Management/Review

J145476

Salary

110K-120K