UM Director - RN Leader in Managed Care & Compliance

El Paso Health; El Paso (TX); Vor Ort; USD 80.000 - 110.000; Vollzeit

Zusammenfassung

El Paso Health is seeking a leader for its Utilization Management program in El Paso, Texas. The ideal candidate will have at least five years in management, with a solid understanding of Medicaid and government programs. This role is crucial for ensuring compliance and effective administration of health plan benefits.

Key responsibilities include strategic oversight and partnership with healthcare providers, critical for the development and maintenance of utilization management protocols.

Apply now to join a committed team dedicated to improving quality of care.

Qualifikationen

• Five years of experience in a management/supervisory capacity.
• Strong background in managed care environment.
• Experience with utilization review and clinic operations.

Aufgaben

• Provide strategic leadership for the Utilization Management program.
• Ensure compliance with regulatory requirements.
• Partner with healthcare providers for plan benefits administration.

Kenntnisse

Leadership

Communication

Analytical skills

Negotiation

Organization

Interpersonal skills

Microsoft Excel

Microsoft PowerPoint

Microsoft Word

Ausbildung

Current and active Registered Nurse license in Texas

Jobbeschreibung

El Paso Health is seeking a leader for its Utilization Management program in El Paso, Texas. The ideal candidate will have at least five years in management, with a solid understanding of Medicaid and government programs. This role is crucial for ensuring compliance and effective administration of health plan benefits.

Key responsibilities include strategic oversight and partnership with healthcare providers, critical for the development and maintenance of utilization management protocols.

Apply now to join a committed team dedicated to improving quality of care.