23123082 – Interim Director Utilization Management



Job Details:

NHS Solutions has a new opportunity in California for an Interim Director Utilization Management. The successful candidate will provide leadership and consultation in all aspects of utilization management as they relate to a newly revised Care Management model. The Interim Director will develop, implement, direct and evaluate operational plans for care management for all entities that belong to our client’s health system. Further, the incumbent will ensure that processes are aligned with the organizational strategic plan and meet or exceed regulatory and industry standards and that the operational plan is effectively communicated throughout the organization.

Key Qualifications:

  • Master’s Degree in clinical or health related field
  • Seven years in leading acute care based care/case management, utilization review, discharge planning or other closely related quality program.
  • Preferred Licenses/Certifications: Certification as an Accredited Case Manager, Certified Case Manager, or Case Management Administrator.
  • Valid license to practice as a Registered Nurse in the State of California



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