This Operations Director Position Features:
•Great pay to $140K
Immediate need for an Operations Director that will oversee the clinical side for reputable health care organization located in the San Francisco Bay Area! The Operations director will be responsible for the following tasks:
•Provide oversight for utilization management including: representation at health plan meetings and audits, and development and maintenance of utilization management plan, policies, procedures, and reports. Great benefits.
•Supervise Utilization Management Supervisor, and Nurse Case Managers.
•Responsible for the processing of authorizations, concurrent and out-of-plan reviews, and denials according to standards.
This is a direct hire, full time/benefited opportunity. Seeking RN's, with clear and active licensure in the state of California. Must have at least 2 years of health care background with 3 years in either working within utilization management or quality improvement in either an HMO, hospital or IPA Setting. Apply for this great position as a operations director today! We are an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, sex, sexual orientation, age (40 and over), gender identity, national origin, protected veteran status, disability or any other protected classification under federal and state law.