Director of Utilization Review

Community Medical Centers   •  

Fresno, CA

Industry: Healthcare

  •  

5 - 7 years

Posted 80 days ago

This job is no longer available.

oining our team means that you will have the resources and development opportunities to make a difference in the community you live, as well as grow your career. If you are seeking a career that matches your passion for helping people then keep on reading below!

Responsibilities:

Your Career at Community | Opportunity. Challenge. Growth.

For more than 30 years, Community Home Health has delivered excellent home care to patients and families in Fresno County and surrounding areas – helping them make the transition from hospital to home.

As a part of Community Regional Medical Center, we are one of the Valley’s largest and most comprehensive programs, offering a full continuum of care, including Home Health and Home Infusion services. Home care provides a welcome alternative to frequent and prolonged hospital stays.

In this role some of your key responsibilities would include but are not limited to:

  • Responsible for the system-wide operations and management of the Utilization Review (UR) department.
  • Provides leadership and direction to the utilization review staff, ensuring standards of practice meet industry requirements.
  • Promotes effective utilization of resources through timely, reliable assessments and reviews to informed clinical decision making along the continuum of care, requiring a high level of leadership and negotiation skills.

Qualifications:

Experience and education minimum requirements:

  • Bachelor’s Degree in Nursing.
  • Three years of leadership experience in managing nursing staff.
  • Five years of experience in Discharge Planning, Case Management or Utilization Review/Management.
  • Current California Registered Nurse License.