Senior RN Executive: Utilization Management & CDI

Healthcare Recruitment Partners; Gainesville (GA); On-site; USD 100,000 - 140,000; Full time

Job summary

A leading healthcare recruitment firm is seeking an Executive Director of Utilization Management in Gainesville, GA. This critical role involves overseeing Utilization Management and Clinical Documentation Improvement, ensuring compliance and optimal resource utilization. Ideal candidates will have a strong RN background, leadership experience, and a focus on enhancing patient care through effective management strategies. Competitive compensation and a supportive work environment are offered.

Qualifications

• Minimum of 5 years of experience in Utilization Management, preferably in a hospital setting.
• Strong leadership skills in overseeing cross-functional teams.
• Knowledge of healthcare finance and reimbursement processes.

Responsibilities

• Oversee and manage the Utilization Management department and staff.
• Ensure compliance with payer and regulatory standards.
• Develop strategies to improve documentation and reduce denials.

Skills

Registered Nurse license

Utilization Management specific certification

Director of Utilization Management and CDI experience

Clinical Documentation Improvement expertise

Education

Bachelor's Degree in Nursing

Master's Degree in Nursing

Job description

A leading healthcare recruitment firm is seeking an Executive Director of Utilization Management in Gainesville, GA. This critical role involves overseeing Utilization Management and Clinical Documentation Improvement, ensuring compliance and optimal resource utilization. Ideal candidates will have a strong RN background, leadership experience, and a focus on enhancing patient care through effective management strategies. Competitive compensation and a supportive work environment are offered.