Utilization Management Program Lead

Atrium Health; Charlotte (NC); On-site; USD 90,000 - 120,000; Full time

Job summary

Atrium Health is seeking a seasoned Utilization Management leader to oversee development and alignment with system strategies. The role focuses on metrics, policy maintenance, and cross-disciplinary collaboration to improve care management outcomes.

The position requires RN/NP licensure, a master’s degree, and strong experience in case management, discharge planning, and regulatory compliance. Travel between facilities is required.

Qualifications

• Master's degree in nursing or related field.
• Current RN license or NP license in the work state; licensure requirements met.
• Professional certification in care management within 3 years of hire.

Responsibilities

• Lead and participate in utilization management process improvements.
• Monitor programme outcomes with metrics; report to audiences.
• Provide leadership, mentoring, and coaching to direct reports.

Skills

Leadership

Mentoring

Coaching

Process improvement

Communication

Regulatory knowledge

Education

Master's degree

RN license or NP license (state)

Clinical certification within 3 years

Job description

Atrium Health is seeking a seasoned Utilization Management leader to oversee development and alignment with system strategies. The role focuses on metrics, policy maintenance, and cross-disciplinary collaboration to improve care management outcomes.

The position requires RN/NP licensure, a master’s degree, and strong experience in case management, discharge planning, and regulatory compliance. Travel between facilities is required.