Strategic RN Director, Utilization Management
Optum
Kelsey-Seybold Clinic, part of the Optum family, seeks a Director of Utilization Management to oversee inpatient/outpatient reviews, medical necessity determinations, and regulatory compliance across CMS, Texas TDI, NCQA, URAC, and payer requirements. This leadership role requires RN licensure, 10+ years in managed care with 5+ in management, and strong analytical and policy skills to drive quality, efficiency, and cost containment. #J-18808-Ljbffr Optum
Vacancy posted 4 days ago
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