Christiana Care Home Health And Community Services Inc
Base: $38.22 - $61.16 ph; bonus/equity: not specif...
Healthcare accreditation experience
Utilization management project management
Regulatory compliance oversight cms ncqa
The role involves overseeing planning, execution, and optimization of projects related to inpatient utilization management and delegated authorization functions
Job Summary
The role involves overseeing planning, execution, and optimization of projects related to inpatient utilization management and delegated authorization functions.
Candidates must ensure all work meets regulatory, contractual, and operational requirements while collaborating with clinical leadership, compliance, and IT teams.
The position offers a competitive salary range of $38.22 to $61.16 per hour along with comprehensive benefits including medical, dental, vision, and generous paid time off.
Matching Summary
The role involves overseeing planning, execution, and optimization of projects related to inpatient utilization management and delegated authorization functions.
Salary
Base: $38.22 - $61.16 per hour; Bonus/Equity: Not specified; Benefits: Full medical, dental, vision, life insurance, 403(b) with contributions, 12-week paid parental leave
Skills & Requirements
Must-have
Healthcare accreditation experience
Utilization management project management
Regulatory compliance oversight CMS NCQA
Delegation audit management
Inpatient authorization workflow monitoring
Nice-to-have
Data analysis skills preferred
Experience with delegated UM models IPA MSO ACO
Familiarity with InterQual MCG criteria
Strong stakeholder relationship building
Process improvement identification
Key Requirements
Bachelor's degree in healthcare administration or related field
Minimum three years of healthcare project management experience
Experience working with delegated UM models strongly preferred
Familiarity with CMS NCQA DHCS DMHC regulatory requirements