About this role
Director, Utilization Management at Duly Health and Care. Location: Downers Grove, Illinois, United States. Role: overseeing utilization, ensuring compliance, leading teams Requirements: 7+ years UM experience with leadership; knowledge of CMS/NCQA, delegated UM models, prior authorization and case management; RN license preferred; CPUR or CCM preferred; strong analytics and stakeholder skills. Category: Healthcare Services - Advanced Practice Seniority: Senior Level Certifications: rn, cpur, ccm Commitment: Full Time Workplace: Onsite Languages: English