Director of Inpatient Utilization Management

Spectrum Health   •  

Grand Rapids, MI

Industry: Hospitals & Medical Centers

  •  

5 - 7 years

Posted 57 days ago

This job is no longer available.

Position Summary

The Director, Utilization Management is responsible for providing oversight to specific operational departments such as inpatient utilization and preservice authorization departments, and coordinating projects in concert with other departments to meet overall project goals while maintaining expertise and oversight with compliance to regulatory and accrediting requirements that are applicable to Utilization Management, and is responsible for reviewing and identifying and implanting processes to impact cost and utilization trends. Additionally, the Director will assume responsibility for all medical innovations projects and will plan, coordinate, and direct, from ideation to inception, all ideas and activities that may impact cost and care. The success of this position requires the ability to foster communication and teamwork to ensure an excellent customer experience.

Qualifications


Basic Qualifications:

Education - Bachelor's Degree or equivalent in in health related field

Experience - 5 years of experience typically gained through skills/knowledge/abilities in Leadership

Licenses -

Registered Nurse (RN) Upon Hire

Preferred Qualifications:

Experience - 3 years of experience typically gained through skills/knowledge/abilities in Managed Care experience 3 years of experience typically gained through skills/knowledge/abilities in Knowledgeable of compliance and regulations as it relates to Utilization