Utilization Management Lead-Utilization Review Full Time Days
Utilization Management Lead-Utilization Review Full Time Days
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Salary Not Disclosed
1 Vacancy
Job Description
The Utilization Management Lead reflects the mission vision and values of NM adheres to the organizations Code of Ethics and Corporate Compliance Program and complies with all relevant policies procedures guidelines and all other regulatory and accreditation standards.
Responsibilities:
- Collaborates with the director of care coordination to oversee the utilization Review and Management process in accordance with NM UM Plan and operations of the UR team.
- Serves in a lead role by utilizing communication skills to build trusting interdisciplinary relationships; engaging in conflict management coaching mentoring and staff development; fosters an environment for shared decision making.
- Collaborates with the director of care coordination to provide the utilization review team with an environment that supports their professional practice health and wellbeing.
- Serves as the Utilization Management expert and collaborates with the director of care coordination for the implementation of evidencebased practice.
- Clearly identifies the internal and external customer(s) for their unit or service area and their respective requirements/expectations.
- Actively seeks methods of concurrent and retrospective feedback from customers listens to customer feedback and implements solutions and/or interventions as appropriate.
- Continually examines ways to improve business relationships with customers suppliers and the community.
- Translates organizational vision into a unit or service area vision that engages team members in contributing to and achieving that vision.
- Provides feedback to improve employee performance and engagement.
- Seeks new ideas from a wide range of sources; encourages others to share knowledge and best practices.
- Maintains active membership in Professional Organization and shares current relevant information
Qualifications :
Required:
- Graduate of an accredited school of nursing with a BSN Minimum of three years of case management experience in an acute care setting or health care environment.
Preferred:
- ACM certification Masters Degree
Additional Information :
Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age sex race color religion national origin gender identity veteran status disability sexual orientation or any other protected status.
If we offer you a job we will perform a background check that includes a review of any criminal convictions. A conviction does not disqualify you from employment at Northwestern Medicine. We consider this on a casebycase basis and follow all state and federal guidelines.
Remote Work :
No
Employment Type :
Fulltime
Employment Type
Full-time
