Director of Utilization Management
Job Opportunity at Pivotal Placement Services

Posted on Oct 24    321-363-1072

Location: Chesterfield, MO
Job Type: Full Time
Job ID: W4145133

Director of Utilization Management 
Perform duties to conduct and manage the day to day operations of the utilization management functions communicating with departmental and plan administrative staff to facilitate daily department functions.Oversee operations of the referral management, telephonic utilization review, prior authorization functions, and case management programs. Ensure compliance government and contractual guidelines and the mission, philosophy and objectives of Corporate and the health plan.

  • Bachelor's degree in Nursing or equivalent experience.
  • 5+ years of nursing experience in an acute care setting or medical/surgical, pediatrics, or obstetric in a managed care environment.
  • 1+ years of utilization management and/or case management experience.
  • Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.
Salary plus bonus and a comprehensive benefit package which includes 401k employer match
Who We Are
Headquartered in Central Florida, Pivotal Placement Services is a full-service national workforce solutions firm that specializes in placing healthcare professionals from staff to leadership with both clinical and non-clinical employers. Our Comprehensive and Customer Focused Workforce Solutions include, Right-to-Hire Contract Staffing, Direct Placement, and Managed Service Provider (MSP) / Vendor Managed Services (VMS) engagements nationally. Pivotal Placement Services is an Equal Opportunity Employer.
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