RN Director of Utilization Management

Job Summary

A company is looking for a Director of Utilization Management.

Key Responsibilities

• Oversee medical necessity reviews for various services
• Ensure timely communication with healthcare providers and patients
• Provide leadership to the Utilization Management team and collaborate on processes

Required Qualifications

• Active RN license (required)
• High school diploma or equivalent; bachelor's degree in nursing or related field preferred
• 3+ years of experience in Utilization Management
• Proficiency in medical terminology and coding
• Strong leadership and time management skills