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Director of Utilization Management Opportunity

Company: Careerbuilder-US
Location: Harrisburg
Posted on: June 27, 2020

Job Description:

Nurse - Director of Utilization Management - DIRECT HIRE - Harrisburg, PA We are currently seeking to fill an RN Director of Utilization Management position in Harrisburg, PA. The purpose of this position is to 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. The hours are 8-5 Mon-Fri (flexible hours are offered). REQUIREMENTS:--- Registered Nurse (RN)-must have PA license (in good standing)--- 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 year managed care experience in areas such as utilization review, case management or disease management--- 2 years of experience delivering formal clinical training programs--- Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.Why Kelly--?As a worker today, it's up to you to take charge of your career and look for opportunities to learn, grow, and achieve your potential. Helping you find what's next is what we're all about. We know what's going on in the evolving world of work-just ask the 440,000 people we employ each year. Connecting with us means getting the support, guidance, and opportunities needed to take your career where you may have never imagined.About Kelly--At Kelly, we're always thinking about what's next and advising job seekers on new ways of working to reach their full potential. In fact, we're a leading advocate for temporary/non-traditional workstyles, because we believe they allow flexibility and tremendous growth opportunities that enable a better way to work and live. Connecting great people with great companies is what we do best, and our employment opportunities span a wide variety of workstyles, skill levels, and industries around the world.Kelly is an equal opportunity employer committed to employing a diverse workforce and providing accommodations for people with disabilities in all parts of the hiring process as required under its Employment Accommodation Policy. Kelly will work with applicants to meet accommodation needs that are made known to Kelly in advance.Job Requirements:

Keywords: Careerbuilder-US, Harrisburg , Director of Utilization Management Opportunity, Executive , Harrisburg, Pennsylvania

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