RN Utilization Review Manager: Care Coordination Leader

Southern New Hampshire Health; Manchester (NH); On-site; USD 110,000 - 140,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision coverage

Disability insurance

Life insurance

Tuition reimbursement

403(b) plan

Paid time off

Job summary

Elliot Health System’s Care Coordination Department in Manchester, NH, seeks a RN Manager Utilization Review to lead the UR function, ensure compliant level-of-care determinations, and drive high-quality documentation.

You’ll partner with physicians, revenue cycle, quality, and payers to optimize patient outcomes, reduce denials, and align utilization with organizational goals. NH RN license required; CCM preferred.

Qualifications

• Graduate of an accredited nursing program; Bachelor’s degree in Nursing or higher required; Masters preferred.

Responsibilities

• Lead UR staff and operations to ensure accurate level-of-care determinations.

Skills

Leadership and people management

Analytical skills

Process Improvement

Clinical decision-making

Education

Bachelor's degree in Nursing

Master's degree in Nursing or higher

RN license (NH or Compact)

CCM/ACM certification

Job description

Elliot Health System’s Care Coordination Department in Manchester, NH, seeks a RN Manager Utilization Review to lead the UR function, ensure compliant level-of-care determinations, and drive high-quality documentation.

You’ll partner with physicians, revenue cycle, quality, and payers to optimize patient outcomes, reduce denials, and align utilization with organizational goals. NH RN license required; CCM preferred.