Director, Utilization Management - CMC - Clear Lake Center
REQUIRED EDUCATION/EXPERIENCE:
Graduate of accredited Registered Nursing program
Minimum of five years’ clinical experience in adult medical health care
Minimum of five years management experience in healthcare.
Minimum of four years of utilization management experience
Master’s degree (may be in non-related health care field).
REQUIRED LICENSES, REGISTRATIONS OR CERTIFICATIONS
Current unrestricted Texas RN License
PREFERRED EDUCATION/EXPERIENCE:
Master's degree in Nursing, Healthcare Administration, Business Administration, Public Health, or related field.
Current CCM, ACM, CPHQ, or equivalent utilization management/quality certification.
Five (5) or more years of progressive leadership experience in utilization management, case management, managed care, or healthcare operations.
Experience in correctional healthcare, academic medical centers, or large integrated healthcare systems.
Advanced experience with InterQual and healthcare analytics platforms.
Demonstrated expertise in performance improvement, physician engagement, and utilization optimization initiatives.
Lean Six Sigma certification preferred.
Proven success leading large multidisciplinary teams and complex healthcare operations.
PREFERRED LICENSES, REGISTRATIONS OR CERTIFICATIONS
Certification for performance improvement
Salary is commensurate with years of relevant work experience.
Equal Employment Opportunity
UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.
