Associate Manager – Clinical Health Services

Associate Manager – Clinical Health Services

Requirements

• Must have active current and unrestricted RN licensure in state of residence.
• 3+ years of acute experience as a Registered Nurse.
• 1+ years of Utilization Management experience.
• Must have experience using MS Office suites.
• Must be willing to work holiday rotation annually, up to 2 per year.
• Occasional travel less than 5% to complete audits/meetings.
• Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours.

Responsibilities

• Oversees the implementation of healthcare management services for assigned functional area.
• Implements clinical policies and procedures.
• Serves as content model expert and mentor to team.
• Problem resolution and critical thinking.
• Monitor best practice approaches.
• Act as liaison with other key business areas.
• Assist in development of training content as applicable.
• Protect confidentiality.
• Manage resources.
• Develop, initiate, monitor and communication performance expectations.
• Participate in recruitment and hiring process.
• Establish environment that promotes teamwork, cross product integration and continuum of care thinking that results in strong performance.
• Change agent.
• Create a positive work environment.
• Accountable for maintaining compliance.

Preferred Qualifications

• Prior supervisory experience.
• Preference for those residing in eastern time zones.