Utilization Management Director - Rn Required - Remote
NGHS
Northeast Georgia, US
Registered nurse licensure required
7 years utilization review experience
2 years revenue cycle leadership
The Director of Utilization Management is responsible for leading UM functions to ensure correct status assignment and optimize reimbursement while minimizing denials
Job Summary
The Director of Utilization Management is responsible for leading UM functions to ensure correct status assignment and optimize reimbursement while minimizing denials.
This role serves as a key liaison between clinical and financial operations, ensuring seamless integration of documentation integrity with utilization management.
The position requires recruiting, training, and managing a high-performing UM team while fostering strong relationships with hospital executives, physicians, and payers.
Matching Summary
The Director of Utilization Management is responsible for leading UM functions to ensure correct status assignment and optimize reimbursement while minimizing denials.