Utilization Management Director jobs in Paramus, NJ

A leading acute care hospital located in southeastern New York is now searching for an experienced Nurse Manager Utilization Review to join their award-winning healthcare team.

This acute care facility was founded over one hundred years ago and today houses nearly 400 licensed beds and offers a wide variety of medical and surgical services. This state-of-the-art medical center provides a number of patient care services including behavioral health, oncology services, cardiopulmonary and vascular services, emergency and critical care, radiology services, maternity and pediatric care, wound and home care, and much more.

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 Makes You Awesome:

• Registered Nurse RN license in the state of New York or ability to obtain
• Certified Case Manager CCM certification highly desirable!
• Proven leadership experience in utilization management setting

This hospital is located in a suburb of New York City and is currently referred to as one of the best places to live in New York. This region is known to attract many young professionals and families.

This respectable healthcare facility is prepared to offer a competitive compensation package including industry leading benefits and continued growth opportunities.