About this role
Director, Utilization Management & Operational Integrity at Medical Mutual. Location: Brooklyn, Ohio, United States. Role: analyzing trends, optimizing workflows, overseeing staff Requirements: BSN required (MS preferred), RN with current unrestricted license, ability to obtain Ohio or multi-state RN within hire windows, 8+ years utilization management experience with 5+ years leadership, knowledge of NCQA/CMS/HIPAA, Microsoft Office proficiency. Category: Healthcare Services - Nursing Seniority: Senior Level Tools: Microsoft Outlook, Microsoft Excel, Microsoft PowerPoint, Microsoft Word, EMRs/Portals Certifications: rn, ohio rn, multi-state rn compact Commitment: Full Time Workplace: Hybrid Languages: English