RN Manager of Utilization Management

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Daily Responsibilities of RN Manager of Utilization Management: 

Position Purpose: Perform duties to conduct and manage the day to day operations of the utilization management function. Communicate with staff to facilitate daily department functions.

Review analyses of activities, costs, operations and forecast data to determine progress toward stated goals and objectives.

Promote compliance with federal and state regulations and contractual agreements.

Develop, implement and maintain compliance, policies and procedures regarding medical utilization management functions.

Develop, implement, and maintain utilization management programs to facilitate the use of appropriate medical resources and decrease the business unit's financial exposure.

Compile and review multiple reports on work function activities for statistical and financial tracking purposes to identify utilization trends and make recommendations to management.

Facilitate on-going communication between utilization management staff and contracted providers.

Develop staff skills and competencies through training and experience.

Requirements of RN Manager of Utilization Management:

RN license, current in Washington

Bachelor’s Degree

3+ years of utilization management

Recent nursing experience in an acute care setting (med/surge, peds, OB) and/or rehab/SNF/LTAC

Management experience (progressive discipline, workflows, productivity reports, team building)

Needs to be organized

Must have good computer skills - Excel, Outlook, etc

Soft skills needed - these are crucial:

Needs to be able to kindly keep a team on track - must be both firm and kind.

Not looking for a "task master" but a previous manager was too much of a pushover. Need to be comfortable redirecting people.

The Director of this department is direct, but polite and fair & that's what she's looking for in her managers.

Hours for this Position:

M-F 8-5

Advantages of this Opportunity:

Competitive salary

Fun and positive work environment

Want More Information?

• If you are interested in applying to this position, please contact Ashley Greene @ 407-478-0332 ext 169 or email and click the Green "I’m Interested" Button to email your resume.