Utilization Review Manager – Transitional Care

Hennepin County Medical Center; Minneapolis (MN); On-site; USD 64,000 - 96,000; Full time

Benefits offered by this job

Comprehensive benefits package

Tuition reimbursement

Paid Time Off

Job summary

Hennepin County Medical Center is seeking a full-time Utilization Review Manager to join the Transitional Care Team in Minneapolis. This management role involves supervising the team responsible for utilization management activities, ensuring effective resource utilization and communication with healthcare professionals. Candidates should have a Bachelor's degree in nursing, leadership and clinical experience, and familiarity with utilization review processes. This position offers competitive compensation based on experience and qualifications, along with a comprehensive benefits package.

Qualifications

• 3-5 years of leadership experience such as charge nurse or team leader.
• 5 years of clinical experience.
• 1 year of utilization review experience required.

Responsibilities

• Manage department budgets and productivity targets.
• Supervise team of UR Coordinators and promote employee satisfaction.
• Develop standard work for the utilization review process.
• Ensure compliance with medical necessity and patient status.
• Analyze data to monitor trends for improvement opportunities.

Skills

Financial management

Communication

Leadership

Problem-solving

Data analysis

Education

Bachelor's degree in nursing or related field

Master's degree

Job description

Hennepin County Medical Center is seeking a full-time Utilization Review Manager to join the Transitional Care Team in Minneapolis. This management role involves supervising the team responsible for utilization management activities, ensuring effective resource utilization and communication with healthcare professionals. Candidates should have a Bachelor's degree in nursing, leadership and clinical experience, and familiarity with utilization review processes. This position offers competitive compensation based on experience and qualifications, along with a comprehensive benefits package.