Utilization Review & Trauma/Stroke Program Manager - RN

Lakewood Health System; Staples (MN); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Generous PTO

Wellness Time Off

401K Match

Tuition assistance $2,000/yr

HSA contributions

Employer paid premiums for individual-

Job summary

Lakewood Health System in Minnesota is seeking a Utilization Review and Clinical Programs Manager (RN) to oversee medical necessity reviews, patient status, and length of stay, while coordinating trauma and stroke program designations. The role requires clinical leadership, collaboration with medical directors and care teams, and a focus on quality improvement.

The ideal candidate has RN licensure in Minnesota, acute care experience (including trauma), and strong analytical, organizational, and

Qualifications

• RN license (Minnesota) is required.
• Experience in utilization review and program coordination preferred.
• Familiarity with trauma and stroke designation standards is preferred.

Responsibilities

• Oversee utilization review activities to support medical necessity and denial prevention.
• Provide leadership for trauma and stroke programs and designation readiness.
• Monitor patient status, length of stay, and documentation opportunities; support payer reviews and appeals.
• Collaborate with nursing administration, medical directors, and interdisciplinary teams to improve clinical processes and ensure regulatory compliance.

Skills

Utilization review

Trauma program management

Stroke coordination

Quality improvement

Care management

Leadership

Regulatory knowledge

Education

RN license (Minnesota)

Tools

MCG criteria

Job description

Lakewood Health System in Minnesota is seeking a Utilization Review and Clinical Programs Manager (RN) to oversee medical necessity reviews, patient status, and length of stay, while coordinating trauma and stroke program designations. The role requires clinical leadership, collaboration with medical directors and care teams, and a focus on quality improvement.

The ideal candidate has RN licensure in Minnesota, acute care experience (including trauma), and strong analytical, organizational, and