Vidant Health

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Vidant Health • $92K — $134K *
Greenville, NC 27858In-Person
Healthcare
Less than 5 years of experience
1 week ago
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Nursing required
  • 3-4 years of related experience
  • Master's degree preferred
  • Familiarity with clinical evidence-based tools, such as MCG and InterQual

Responsibilities

  • Develops and directs Utilization Management strategies in collaboration with leadership
  • Establishes quality standards and implements policies for UM Services
  • Oversees recruitment, training, and performance evaluation of staff
  • Enhances collaboration efforts with internal and external partners
  • Manages the Utilization Review process ensuring compliance with regulations
  • Develops and manages departmental budgets aligned with organizational goals
  • Supports the integration of technology in clinical and management processes

Benefits

  • Supports a positive organizational culture
  • Opportunities for professional development
  • Encourages a continuous learning environment
  • Commitment to regulatory compliance and safe care practices
Full Job Description
Position Summary
  • Management accountability and decision-making authority for determining and implementing the strategies, interventions and activities that will be effective and appropriate to further enable the capability of the UR processes.
  • Accountable for ensuring performance of the program in accordance with goals and stewardship responsibilities.
  • Communicates key management decisions and informs department leadership of issues affecting program and system performance effectiveness.
  • Facilitates development of and adjustments to work plans, work processes, budgets, staffing levels, and other resources needed to deliver services that meet expectations of the program.
  • Facilitates change to advance the organization and uses resources and operational practices to drive execution of plans.
  • Ensures that policies, procedures and practices are operationalized to support safe, reliable care, regulatory compliance, and fosters a continuous learning culture.
  • Accountable for a positive organizational culture in decision making and performance management to influence work attitudes and enhance job satisfaction.
Responsibilities
  • Develops, directs, and administers the ECU Health approach to Utilization Management (UM) in conjunction with the Administrator of UM and Medical Director for UM.
  • Establishes quality expectations and develops, plans, and implements policies and procedures to enhance services provided by the UM Services Department.
  • Coordinates the screening, interviewing, selecting, development and evaluation of departmental staff.
  • Develops and implements mechanisms to enhance collaboration with internal and external resources.
  • Coordinates the Utilization Review process and maintains accountability for compliance with regulatory bodies and commercial contracts (Inpatient units across the health system as applicable).
  • Develops and administers departmental budgets consistent with the goals and philosophies of the organization.
  • Supports the use of clinical and management information technology and works in conjunction with key stakeholders and the information services function.
Minimum Requirements
Bachelor's degree in Nursing.
3 to 4 years of related experience is required.

Preferred Requirements
Master's degree is preferred.
Experience with clinical evidenced based tools; MCG and/or InterQual.
Pay Range
$92206.40 - $134397.12
ECU Health

About Vidant Health

Vidant Health is a not-for-profit healthcare system based in Greenville, North Carolina. The system includes eight hospitals, numerous clinics and outpatient facilities, and a medical school. Vidant Health provides a wide range of medical services, including primary care, specialty care, and emergency care, and is committed to improving the health and well-being of the communities it serves. The system is known for its innovative approach to healthcare, and has received numerous awards and recognitions for its high-quality care and patient-centered approach.
Learn more about Vidant Health
Size
13,000 employees
Industry
Healthcare
* Ladders Estimates

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