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Ohio Licensed Utilization Management Director
A company is looking for a Director of Utilization Management. Key Responsibilities Directs the utilization management team to ensure compliance with policies and procedures for optimal member outcomes Reviews and analyzes utilization trends to enhance the effectiveness of the utilization program Develops strategies and manages the budget while collaborating with senior leadership Required Qualifications Bachelor's degree required; 7+ years of related experience, including management experience 4+ years of management experience preferred Expert knowledge of industry regulations, policies, and standards preferred RN license is highly preferred Equivalent experience may be considered
A company is looking for a Director of Utilization Management.
Key Responsibilities
Directs the utilization management team to ensure compliance with policies and procedures for optimal member outcomes
Reviews and analyzes utilization trends to enhance the effectiveness of the utilization program
Develops strategies and manages the budget while collaborating with senior leadership
Required Qualifications
Bachelor's degree required; 7+ years of related experience, including management experience
4+ years of management experience preferred
Expert knowledge of industry regulations, policies, and standards preferred
RN license is highly preferred
Equivalent experience may be considered