Senior Medicare Advantage Health Services Director | RN, FL

Ascendo Resources; Miami (FL); On-site; USD 100,000 - 130,000; Full time

Job summary

A healthcare staffing firm is seeking a Senior Director of Health Services in Miami, FL. The role requires an experienced RN with a strong background in Medicare Advantage and case management. Key responsibilities include leading the department, ensuring compliance with healthcare standards, and optimizing care delivery. Applicants should have extensive management experience, strong organizational skills, and a data-driven approach.

Qualifications

• Current, valid Florida Registered Nurse (RN) license required.
• Minimum 5 years clinical nursing experience.
• Deep knowledge of utilization review and healthcare delivery models.

Responsibilities

• Lead, plan, and manage the Health Services department.
• Coordinate with providers and internal teams for optimal care delivery.
• Ensure compliance with Medicare Advantage guidelines.

Skills

Leadership and management

Case management expertise

Data analytics proficiency

Organizational skills

Education

Graduate of an accredited School of Nursing

Job description

A healthcare staffing firm is seeking a Senior Director of Health Services in Miami, FL. The role requires an experienced RN with a strong background in Medicare Advantage and case management. Key responsibilities include leading the department, ensuring compliance with healthcare standards, and optimizing care delivery. Applicants should have extensive management experience, strong organizational skills, and a data-driven approach.