Nurse Manager Utilization Review - Clinical Management Consultants : Job Details

An award-winning acute care hospital located in central New York is currently searching for an experienced Nurse Manager Utilization Review to join their established healthcare system. This regional leading medical center is home to over 500 inpatient beds and provides a wide variety of awarded acute care services. This location offers exceptional emergency and critical care, women's health and birthing services, cardiology, oncology, behavioral health, surgical services, pediatrics, and much more. The Nurse Manager Utilization Review will join a system that strives to provide optimal patient outcomes and promote ongoing community health. Reporting to the Director Case Management, the Nurse Manager Utilization Review will oversee the hospital's case management and utilization review programs. Responsibilities include oversight of the medical necessity and denials management programs, ensures customer satisfaction, develops and enforces performance standards, provides training to new and existing staff, fosters positive relationships with payors and external vendors, and supports the overall mission of the organization. What's Needed to Succeed: Bachelor's degree in Nursing BSN Registered Nurse license in the state of New York or ability to obtain Prior leadership experience in an outpatient surgery setting This region of central New York is home to a number of metro parks, delicious local restaurants, and many shopping areas. Many young professionals and families enjoy living in this area because you can always find something to do. This respectable healthcare facility is prepared to offer a competitive compensation package including industry leading benefits.